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Urgent! Risk Adjustment Coder Job Opening In Miami – Now Hiring ChenMed
**We’re unique.
You should be, too.**
We’re changing lives every day.
For both our patients and our team members.
Are you innovative and entrepreneurial minded?
Is your work ethic and ambition off the charts?
Do you inspire others with your kindness and joy?
We’re different than most primary care providers.
We’re rapidly expanding and we need great people to join our team.
The Risk Adjustment Coder works in a collaborative effort directly with physicians and their office staff and other support departments to review medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure opportunities.
A major focus of the position is to collect and review documents to support the organization’s quality and risk adjustment initiatives, which results in improving quality of care.
Job Description
**ESSENTIAL JOB DUTIES/RESPONSIBILITIES:**
+ Ensures compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment Reviews of medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries to verify whether:
+ The diagnosis codes are supported by the documentation and ensure with ICD-10-CM Guidelines for Coding and Reporting.
+ The diagnosis codes for each chronic or major medical condition have been captured correctly.
+ Any diagnosis code that is unsubstantiated by the record should be queried to provider and assess to accuracy.
+ Reviews for clinical indicators and query providers to capture the severity of illness of the patient.
+ Conducts medical charts to identifying opportunities for improving individual member risk adjustment score accuracy.
+ Provides feedback to internal clients on:
+ Examples of documentation and physician self-coding that do not meet quality standards.
+ Examples of missed operations missed opportunities.
+ Examples of clinical that ensure quality and timely care of our members as well as correct reimbursement.
+ Identifies clinical coding and documentation trends and training needs to improve the quality of documentation to reflect our patients’ health data.
+ Attends all meetings as required.
+ Other duties as assigned and modified at manager’s discretionKNOWLEDGE, SKILLS & ABILITIES:
+ Advanced understanding of medical terminology, body systems/anatomy, physiology and concepts of disease processes.
+ Demonstrated ability to utilize a variety of electronic medical records systems.
+ Ability to manage significant work load, and to work efficiently under pressure meeting established deadlines with minimal supervision.
+ Strong time management skills.
+ Excellent written and oral communication for representation of clear and concise results.
+ Strong follow-up skills & organizational skills required.
+ Must possess high degree of accuracy, efficiency and dependability.
+ Candidate will start in office, but could potentially work from home after quality and production levels exceed targets.
Would need to be comfortable coming to the office on a weekly basis and as established by management.
+ Travel required 0-10%
EDUCATION AND EXPERIENCE CRITERIA:
+ High School Diploma or GED required.
+ Coding Certificate required.
APPC or AHIMA coding certified preferred.
+ CRC (certified risk coder) is required, or minimum of 3-5 years’ experience in risk adjusting coding in lieu of certificate.
+ Two (2) + years’ experience in a primary care environment is required.
+ Strong knowledge of Microsoft Office Suite (Excel-basic mathematical formulas, charts, tables).
+ Strong medical coding and third party operating procedures and practices.
+ Knowledge of CPT/ICD-9 & 10 & Medical Terminology.
We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better.
Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve.
We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care.
ChenMed is changing lives for the people we serve and the people we hire.
With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow.
Join our team who make a difference in people’s lives every single day.
Current Employee apply HERE (https://careers.chenmed.com/i/us/en/homerevisited)
Current Contingent Worker please see job aid HERE to apply
#LI-Remote
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Unlock Your Risk Adjustment Potential: Insight & Career Growth Guide
Real-time Risk Adjustment Jobs Trends in Miami, United States (Graphical Representation)
Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for Risk Adjustment in Miami, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 12394 jobs in United States and 86 jobs in Miami. This comprehensive analysis highlights market share and opportunities for professionals in Risk Adjustment roles. These dynamic trends provide a better understanding of the job market landscape in these regions.
Great news! ChenMed is currently hiring and seeking a Risk Adjustment Coder to join their team. Feel free to download the job details.
Wait no longer! Are you also interested in exploring similar jobs? Search now: Risk Adjustment Coder Jobs Miami.
An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at ChenMed adheres to the cultural norms as outlined by Expertini.
The fundamental ethical values are:The average salary range for a Risk Adjustment Coder Jobs United States varies, but the pay scale is rated "Standard" in Miami. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.
Key qualifications for Risk Adjustment Coder typically include Other General and a list of qualifications and expertise as mentioned in the job specification. Be sure to check the specific job listing for detailed requirements and qualifications.
To improve your chances of getting hired for Risk Adjustment Coder, consider enhancing your skills. Check your CV/Résumé Score with our free Resume Scoring Tool. We have an in-built Resume Scoring tool that gives you the matching score for each job based on your CV/Résumé once it is uploaded. This can help you align your CV/Résumé according to the job requirements and enhance your skills if needed.
Here are some tips to help you prepare for and ace your job interview:
Before the Interview:To prepare for your Risk Adjustment Coder interview at ChenMed, research the company, understand the job requirements, and practice common interview questions.
Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the ChenMed's products or services and be prepared to discuss how you can contribute to their success.
By following these tips, you can increase your chances of making a positive impression and landing the job!
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