Top 75 Cpc Pathology Jobs

Medicare Risk Adjustment Coder (Hybrid)
Genuine Health Group —Coral Gables, FL
- From $65,000 a year
- Full-time
- Hybrid work
- Bilingual
- Background check
- Spanish
- Paid holidays
- Health insurance
Quick Apply
5d
Revenue Cycle Manager - Pathology Lab
Pathology Laboratory Associates —Tulsa, OK
- 8 hour shift
- Mid-level
- High school diploma or GED
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Pathology Medical Coder
APS Medical Billing —Remote
- $41,000 - $54,000 a year
- Full-time
- Remote
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
Ancillary Medical Coding Specialist
Valerion Health —Remote
- Full-time
- Anatomy knowledge
- HIPAA
- Mid-level
- Health insurance
Quick Apply
Billing Assistant - Dermatology
Dermatology360, LLC —Remote
- $21 - $25 an hour
- 8 hour shift
- Remote
- Surgery
- Mid-level
- Commercial
- Health insurance
- Dental insurance
Quick Apply
4d
Coding Specialist III - Plastics/Podiatric Surgery
MedStar Health —Remote
- $28.76 - $47.05 an hour
- Full-time
- Remote
- Surgery
- Computer literacy
- High school diploma or GED
Medical Coding Representative I
Quest Diagnostics —Atlanta, GA
- $21.42 - $28.00 an hour
- Full-time
- Writing skills
- Mid-level
- High school diploma or GED
- Employee stock purchase plan
- Disability insurance
Quick Apply
Manager Professional Billing Coding Operations - Remote
Boston Medical Center —Remote
- $78,000 - $113,000 a year
- Full-time
- Remote
- Anatomy knowledge
- 5 years
- HIPAA
- Health insurance
- Dental insurance
Provider Coding Auditor & Educator (Remote)
Anne Arundel Dermatology —Owings Mills, MD
- $75,000 - $85,000 a year
- Full-time
- Remote
- Anatomy knowledge
- Surgery
- Mid-level
- AD&D insurance
- Paid holidays
PACE Medical Coder (Hybrid)
San Ysidro Health —San Diego, CA
- $29.85 - $37.98 an hour
- Weekends as needed
- Hybrid work
- Anatomy knowledge
- Customer service
- High school diploma or GED
Quick Apply
MEDICAL CODER SPECIALIST
Duke Health —Durham, NC
- Full-time
- Remote
- Anatomy knowledge
- Management
- Surgery
Outpatient Medical Coder- Full Time
Sierra7 —Remote
- Full-time
- Anatomy knowledge
- HIPAA
- Mid-level
- Health savings account
- Disability insurance
12d
REMOTE INPATIENT CODER
University of Michigan Health Sparrow —Lansing, MI
- Full-time
- Remote
- Microsoft Excel
- Research
- High school diploma or GED
Revenue Cycle Specialist-Revenue Integrity - Pathology
Weill Cornell Medicine —New York, NY
- $32.69 - $36.76 an hour
- Remote
- Surgery
- Research
- Mid-level
3d
Coding Specialist I, II
Southcentral Foundation / SCF —Anchorage, AK
- $22.99 - $35.10 an hour
- Weekends as needed
- Remote
- Anatomy knowledge
- Mid-level
- Office
- Health insurance
Quick Apply
Outpatient Complex Coder - Full Time Days - Interventional Radiology (Michigan Residents)
Henry Ford Health —Detroit, MI
- Full-time
- Remote
- Anatomy knowledge
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Coding Specialist-Outpt
Renown Health —Reno, NV
- $26.95 - $37.73 an hour
- Full-time
- Remote
- Anatomy knowledge
- Microsoft Excel
- Microsoft Outlook
Associate Coding Specialist-Inpt
Renown Health —Reno, NV
- $26.95 - $37.73 an hour
- Full-time
- Anatomy knowledge
- Computer literacy
- English
Medical Coder II/III
CodaMetrix —Boston, MA
- $90,000 - $105,000 a year
- Full-time
- Remote
- Background check
- 5 years
- Quality control
- Disability insurance
- Health insurance
Medical Coder I
CLAREMEDICA HEALTH PARTNERS LLC —Miami, FL
- Anatomy knowledge
- Mid-level
- Office
Quick Apply

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Medicare Risk Adjustment Coder (Hybrid)

Genuine Health Group -
Coral Gables, FL

Quick Apply

Job Details

Full-time
From $65,000 a year
5 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Employee discount
Flexible schedule
Life insurance

Qualifications

Bilingual
Spanish
Microsoft Excel
Medicare
Medical coding
English
Certified Professional Coder
ICD-10
Certified Coding Specialist
CPT coding
EMR systems
Medical Billing & Coding
Communication skills

Full Job Description

Summary:

The Medicare Risk Adjustment (MRA) Coder plays a critical role in driving risk adjustment accuracy and provider documentation quality across the Genuine Health Group network. Fluency in English and Spanish is required for this role, as the ideal candidate will support both retrospective and concurrent chart reviews, leveraging strong knowledge of Hierarchical Condition Categories (HCC) and MEAT (Monitoring, Evaluation, Assessment, Treatment) documentation standards to ensure complete, accurate, and compliant capture of chronic conditions. The ideal candidate will be analytical, adaptable, and highly skilled in translating medical documentation into actionable coding insights, while also serving as an educational partner to providers.

Essential Duties and Responsibilities:

Review and audit patient medical records— including histories and physicals, progress notes, diagnostic reports, pathology results, medication, labs results and discharge summaries— to ensure diagnoses are accurately captured, documented, and coded in compliance with CMS risk adjustment standards.
Apply MEAT criteria to validate chronic conditions and ensure accurate HCC capture.
Conduct comprehensive retrospective chart reviews for each assigned panel twice per year - every semester.
Perform pre and post-visit chart audits to support real-time documentation improvement proactively identify coding opportunities.
Submit validated HCC codes accurately and in a timely manner through appropriate platforms.
Lead chart review discussions with providers and clinical teams, offering data-driven insights to enhance documentation.
Foster collaborative relationships with provider offices to support engagement and education.
Identify trends in under coding or documentation gaps and escalate key findings when necessary.
Coordinate retrieval of medical records from internal and external sources to support chart reviews and audit requests.
Ensure compliance with CMS guidelines and applicable regulations on coding.
Educate physicians and staff on documentation specificity and coding best practices.
Maintain audit logs and generate performance reports.
Collaborate with Quality team on HEDIS and care gap initiatives.
Travel locally approximately 30% of the workweek to support on-site provider engagement. (70% remote / 30% on-site hybrid model - may vary based on EMR system per provider)
Participate in special projects or duties as assigned.
Out-of-state travel, if necessary, includes requirements for some ACOs offices, with all expenses covered by the company.

Qualifications & Skills

Deep knowledge of ICD-10, HCC coding, MEAT criteria, and CMS risk adjustment methodologies.
Strong understanding of Medicare Advantage, value-based care, and electronic medical record (EMR) systems.
Proficient in Microsoft Excel, Outlook, and web-based chart review platforms.
Excellent communication skills in both Spanish and English (written and verbal).
High attention to detail with strong organizational and critical thinking abilities.
Self-motivated and able to work independently in a field-based setting.
Proven ability to engage and educate providers and any other staff on documentation improvement.

Minimum Education and Experience

Certification required: CPC, CRC, CPMA, CCS-P, CCS, RHIA, or RHIT.
3+ years of MRA coding experience with Medicare Advantage populations.
1+ year of fee-for-service billing experience preferred.
Bachelor’s degree preferred; FMG or international medical graduate background a plus.
Bilingual fluency in Spanish and English is required.

Genuine Health Group offers a competitive compensation and benefits package that includes a 401k matching program, fully subsidized medical plans, paid holidays and much more. Base salary will be commensurate to professional experience. All final employment offers are contingent upon successful completion of background checks.

Genuine Health Group is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Type: Full-time

Pay: From $65,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Employee discount
Flexible schedule
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance

Application Question(s):

Do you now or will you in the future require sponsorship to work in the United States?
What are your salary expectations for the role?

Experience:

ICD-10 Coding: 1 year (Required)
Medicare Risk Adjustment Coding: 3 years (Required)
CPT Coding: 1 year (Required)

Language:

English and Spanish (Required)

License/Certification:

CPC /CPMA/ CRC/ CCS-P/ CCS/ RHIA or RHIT certification (Required)

Ability to Commute:

Coral Gables, FL 33134 (Required)

Willingness to travel:

50% (Required)

Work Location: Hybrid remote in Coral Gables, FL 33134

Quick Apply

Refine Your Search

Cpc Pathology jobs

Medicare Risk Adjustment Coder (Hybrid)

Revenue Cycle Manager - Pathology Lab

Pathology Medical Coder

Ancillary Medical Coding Specialist

Billing Assistant - Dermatology

Coding Specialist III - Plastics/Podiatric Surgery

Medical Coding Representative I

Manager Professional Billing Coding Operations - Remote

Provider Coding Auditor & Educator (Remote)

PACE Medical Coder (Hybrid)

MEDICAL CODER SPECIALIST

Outpatient Medical Coder- Full Time

REMOTE INPATIENT CODER

Revenue Cycle Specialist-Revenue Integrity - Pathology

Coding Specialist I, II

Outpatient Complex Coder - Full Time Days - Interventional Radiology (Michigan Residents)

Coding Specialist-Outpt

Associate Coding Specialist-Inpt

Medical Coder II/III

Medical Coder I

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