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 sees and other recognized sees to identify suitable ICD-10- CM coding and billing and compliance with Medicare Risk Adjustment metrics. Assistance continuum of client care by determining 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 paperwork mistakes, medical diagnosis mistakes along with missed out on HCC chances in suitable audit tools daily. Recognize and interact paperwork shortages to suppliers to enhance documents for precise danger modification coding. Recognizes and records coding observations or inconsistencies and offers info to management group to even more boost quality and/or company education. Help coding management by making suggestions for procedure enhancements to even more improve coding quality objectives and results. Help with and acquire suitable doctor paperwork for any scientific conditions or treatments to support the proper intensity of health problem medical diagnoses. Supplies 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 should be acquired within 1 year of hire. Needed conclusion of a recognized licensed coding expert program.2 years of center or health center 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 policies consisting of compliance and repayment and the effect of medical diagnosis coding on danger modification payment designs. Capability to recognize HCC enhancement chances and inform medical companies on correct scientific paperwork, compliance, and coding standards. Intermediate level of efficiency in MS Office – Excel, PowerPoint, and Word. Capability to protect 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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