Top 6 Certified risk adjustment coder Jobs in Orlando Fl

Medical Risk Adjustment Coder- VBC
Orlando Health —Winter Park, FL
- Full-time
- Microsoft Word
- Computer literacy
- Mid-level
- Benefits from day one
Provider Performance & Coding Consultant
HealthArch —Maitland, FL
- Full-time
- Hybrid work
- Public speaking
- Mid-level
- Organizational skills
Quick Apply
Senior Clinical Documentation Integrity Specialist
AdventHealth Population Health Services Organization —Maitland, FL
- $49,718.59 - $92,468.74 a year
- Full-time
- Microsoft Word
- Background check
- Microsoft Outlook
- Paid parental leave
- Disability insurance
7d
Coding Inpatient Auditor
AdventHealth Corporate —Orlando, FL
- $26.29 - $48.91 an hour
- Full-time
- Background check
- Surgery
- 5 years
- Paid parental leave
- Disability insurance
7d
Regional Coding Operations Manager WFH
HCA Healthcare —Orlando, FL
- Full-time
- 5 years
- Critical & Intensive Care
- Travel
- Employee stock purchase plan
- Disability insurance
Quick Apply

Discover related jobs

Based on your search for certified risk adjustment coder jobs.

Hospital Coding Liaison-Outpatient
Orlando Health —Orlando, FL
Advanced knowledge of experience with ICD-10 and CPT coding in the radiation oncology field is required. Associate’s or bachelor’s degree in Health Information…
Medical Risk Adjustment Coder- VBC
Orlando Health —Winter Park, FL
Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Compliance Educator
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Health Information Management, Nursing, Healthcare Administration, or a related field, required. Strong visual and graphic design skills.
Reimbursement Variance Analyst
Orthopedic One —Westerville, OH
Revises Standard Fees to comply with federal & state billing regulations & guidelines. Candidates must have current certification as a Certified Professional…

I want to receive the latest job alert for certified risk adjustment coder in orlando fl

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

certified risk adjustment coder jobs near orlando fl

Medical Risk Adjustment Coder- VBC

Orlando Health -
Winter Park, FL

Apply Now

Job Details

Full-time

Benefits

Benefits from day one

Qualifications

Microsoft Word
Medicare
Presentation software
Computer literacy
Spreadsheets
Medical coding experience in physician offices
Windows
High school diploma or GED
Medicare regulations
Newsletters (communication methods)
Data collection

Full Job Description

Position Summary:

About Orlando Health

At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida’s east to west coasts and beyond.

Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. “Orlando Health Is Your Best Place to Work” is not just something we say, it’s our promise to you.

Position Summary
The Medical Risk Adjustment Coder supports the physician practices and the Care Coordination Department with Coding Improvement activities using various clinical data systems.

Responsibilities:

Essential Functions

Collaborates with a variety of internal and external clients, including health care executives, physicians, provider office personnel, and payer representatives from various health plans to streamline and optimize accurate diagnosis code capture.
Maintains responsibility for conducting clinical chart and patient billing audits for the purpose of
Identifying and validating reported diagnoses for Medicare/Medicare Advantage and ACO health plan members.
Reviews medical records and billing history to determine if specific disease conditions were correctly billed and documented.
Adheres to all official coding rules and CMS guidelines for risk adjustment, and ensures accuracy,
Completeness, specificity and appropriateness of diagnosis information.
Assists with the completion of HEDIS chart reviews and facilitates the accurate and timely reporting of quality measures. .
Demonstrates analytical and problem-solving ability in the process of reviewing submitted
Diagnosis codes, comparing to actual services provided to the patient, and communicates appropriate feedback to providers and billing personnel.
Performs analysis and focused chart reviews for targeted provider education training projects.
Assists in the acquisition, development and distribution of coding and documentation improvement educational materials.
Provides articles for the quarterly coding newsletter.
Facilitates collection, validation, distribution and follow-through support of monthly and quarterly HCC coding reports for all providers participating in the Managed Medicare Program and Accountable Care Organization Programs.
Places emphasis on compliance with Risk Adjustment procedures and protocol, internal controls, and maintaining the highest level of workplace behavior.
Coordinates data collection and aggregation on a variety of focused audits and HCC coding capture projects.
Validates the results of payer audits and translates findings into educational opportunities and tools to optimize revenue recovery.
Offers support in the Care Coordination Department, focusing on provider and staff education.
Facilitates ongoing quality metrics monitoring & assists with providing quarterly quality metrics reports for each PCP.
Performs data validation and integrity functions in a variety of systems pertaining to patient care, clinical documentation, charge entry & billing, and payer claims management.
Documents and reports activities regarding program status.
Reviews, analyzes and modifies data as necessary to meet both internal and external customer needs·.
Works with clinical staff to analyze reports and collaboratively identify improvement opportunities.
Monitors quality, cost and efficiency on a recurring basis.
Remains available when needed to attend Managed Medicare meetings, record minutes, and translate meeting outcomes into action plans that yield measurable results.
Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
Maintains compliance with all Orlando Health policies and procedures.

Other Related Functions

Maintains established work production standards.
Assumes the responsibility for professional growth and development.
Ability to work independently in a time-oriented environment.
Participates in professional healthcare and community associations to keep abreast of current healthcare trends is expected.

Qualifications:

Education/Training:

High School Diploma or equivalent.

Licensure/Certification

Must maintain current one of the following: * Certified Professional Coder (CPC) * Certified Risk Adjustment Coder (CRC)

Experience

Prior HCC/HHS experience with Medicare Risk Adjustment with two (2) years’ experience in medical coding.
Computer literate with skills in Windows, Microsoft Word, Microsoft PowerPoint, Microsoft Excel.
Excellent written and verbal communication skills; ability to write concisely and effectively when communicating with providers.

Apply Now

Refine Your Search

certified risk adjustment coder jobs in orlando fl

Medical Risk Adjustment Coder- VBC

Provider Performance & Coding Consultant

Senior Clinical Documentation Integrity Specialist

Coding Inpatient Auditor

Regional Coding Operations Manager WFH

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for certified risk adjustment coder in orlando fl

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected