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Urgent! Risk Adjustment Coder Job Opening In San Antonio – Now Hiring GONZABA MEDICAL GROUP
Description
General Summary: This role focuses on the Risk Adjustment process that supports the documentation of acuity diagnoses for the Managed Care (MC) patient population and required activities for submission of records to Medicare Advantage (MA) payers under established capitated contracts.
It assists with medical record reviews for HCC diagnoses, correct usage of various coding guidelines (ICD-10-CM, CPT, HCPCS) and federal and MA payor regulations, as well as clinical validation of appropriate supporting documentation.
Supervisory Responsibilities: This position has no supervisory responsibilities.
General Requirements:
All duties performed will be done accurately and in a timely manner.
Essential Job Responsibilities:
Education and Training: Minimum high school education or equivalent required.
An active Coding Certification by AHIMA (RHIA, RHIT, CCS, CCS-P or CCA) or AAPC (CPC, CRC) is required.
Graduation from an approved practical nursing program and state-licensed practical nurse preferred.
CPR with AED certification required.
All certifications are required as initial and continued employment at Gonzaba Medical Group.
Experience: 3+ years’ experience in working with the Risk Adjustment (HCC) process preferred.
Knowledge of ICD-10-CM, CPT, and HCPCS coding systems, guidelines, and rules.
Knowledge of billing regulations, Managed Care insurance coverage limitations and protocols.
Knowledge of medical terminology, medical procedures, human anatomy, and physiology.
Other Requirements: Computer Skills: Skilled in use of computer/EMR systems.
Knowledge of Word processing software, spreadsheet software, Internet, and database software.
Work Environment: Depending upon the area assigned, may be 100% clinical setting or office setting in a clinical environment.
Exposure to communicable diseases, bodily fluids, toxic substances, ionizing radiation, medicinal preparations, and other conditions common to a clinic environment.
Mental / Physical Requirements: Requires manual dexterity, sitting, standing, stooping, reaching, kneeling, crouching, bending, walking, lifting up to 40 lbs.
without assistance.
Close vision and ability to adjust focus.
Must be able to work efficiently under pressure.
Additional Information: Gonzaba Medical Group is seeking team members who contribute as A-Players, demonstrate a strong work ethic, are committed to the culture and our core values.
Other Duties As Assigned: The above job description is not intended to be an all-inclusive list of duties and standards of the position.
Team members will follow any other instructions, and perform any other related duties, as assigned by their supervisor.
Responsibilities, knowledge, skills, abilities, and work environments may change as needs evolve.
Qualifications
Skills
Behaviors
:
Motivations
:
Education
Required
High School or better.
Experience
Preferred
3 years:
Experience in working with the Risk Adjustment (HCC) process.
Licenses & Certifications
Required
CPR Certification
Coding Cert AAPC
Preferred
LVN Certification
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Unlock Your Risk Adjustment Potential: Insight & Career Growth Guide
Real-time Risk Adjustment Jobs Trends in San Antonio, 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 San Antonio, 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 12416 jobs in United States and 364 jobs in San Antonio. 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! GONZABA MEDICAL GROUP is currently hiring and seeking a Risk Adjustment Coder to join their team. Feel free to download the job details.
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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 GONZABA MEDICAL GROUP 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 San Antonio. 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 Health Technologists And Technicians 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.
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Before the Interview:To prepare for your Risk Adjustment Coder interview at GONZABA MEDICAL GROUP, 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 GONZABA MEDICAL GROUP's products or services and be prepared to discuss how you can contribute to their success.
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