Baptist Health South Florida

Baptist Health South Florida.

  • Coral Gables, FL


  • Long-term.

  • Full-time.

Carries out medical record examines prior to and following yearly health gos to and other determined sees to figure out proper 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 check out. File comprehensive chart audit findings consisting of paperwork mistakes, medical diagnosis mistakes in addition to missed out on HCC chances in suitable audit tools every day. Determine and interact documents shortages to suppliers to enhance paperwork for precise threat change coding. Determines and records coding observations or inconsistencies and offers info to management group to even more improve quality and/or company education. Help coding management by making suggestions for procedure enhancements to even more improve coding quality objectives and results. Assist in and get proper doctor paperwork for any scientific conditions or treatments to support the suitable intensity of disease medical diagnoses. Offers quantifiable, actionable options to service providers 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 gotten within 1 year of hire. Needed conclusion of a recognized licensed coding professional program.2 years of center or healthcare 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 paperwork requirements, state and federal guidelines consisting of compliance and repayment and the effect of medical diagnosis coding on danger change payment designs. Capability to recognize HCC enhancement chances and inform scientific suppliers on appropriate 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, in addition to the capability to work out judgment and effort. Capability to operate in a constantly altering environment.

Baptist Health South Florida.

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