Baptist Health South Florida

Baptist Health South Florida.

  • Coral Gables, FL


  • Long-term.

  • Full-time.

Carries out medical record evaluates prior to and following yearly health check outs and other determined sees to identify suitable ICD-10- CM coding and billing and compliance with Medicare Risk Adjustment metrics. Assistance continuum of client care by recognizing clients with spaces in care or in requirement of MRA metrics reporting prior to each certified go to. File comprehensive chart audit findings consisting of documents mistakes, medical diagnosis mistakes in addition to missed out on HCC chances in relevant audit tools every day. Determine and interact documents shortages to service providers to enhance paperwork for precise danger modification coding. Recognizes and records coding observations or disparities and supplies info to management group to even more boost quality and/or service provider education. Help coding management by making suggestions for procedure enhancements to even more improve coding quality objectives and results. Help with and get proper doctor documents for any medical conditions or treatments to support the proper intensity of health problem medical diagnoses. Offers quantifiable, actionable options to suppliers that will lead to enhanced precision for paperwork and coding practices.

Qualifications

High School, Cert, GED, Trn, Exper. AAPC Certified Professional Coder AAPC Certified Risk Adjustment Coder Additional Qualifications: Certified Professional Coder and/or Certified Risk Adjustment Coder (CRC). CRC accreditation need to be acquired within 1 year of hire. Needed conclusion of a certified licensed coding professional program.2 years of center or medical facility experience and/ or handled care experience. 1 years of experience in Risk Adjustment and HEDIS/Stars. Capability to translate, evaluate and abstract data/documentation. Comprehensive understanding of ICD-10- CM codes, Category II codes, COA steps, CMS documents requirements, state and federal policies consisting of compliance and repayment and the effect of medical diagnosis coding on danger modification payment designs. Capability to determine HCC enhancement chances and inform scientific companies on correct medical documents, compliance, and coding standards. Intermediate level of efficiency in MS Office – Excel, PowerPoint, and Word. Capability to safeguard coding choices to both internal and external audits. Strong organizational abilities in several settings, along with the capability to work out judgment and effort. Capability to operate in a constantly altering environment.

Baptist Health South Florida.

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