Top 7 Adjustment coder Jobs in Wellington Fl

Risk Adjustment Coder
Cano Health LLC —Jupiter, FL
- Extended hours
- Research
- Mid-level
- Ability to lift 50 pounds
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Risk Adjustment Analyst
PCC MEDICAL HOLDINGS LLC —North Palm Beach, FL
- $65,000 - $75,000 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- 2 years
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Medical Collection Specialist
Delray Center for Healing —Delray Beach, FL
- $35,000 - $44,000 a year
- Full-time
- Medical office experience
- HIPAA
- Research
- Health insurance
- Dental insurance
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Lead Outpatient Coder
Houston Methodist —Florida
- Full-time
- Anatomy knowledge
- Writing skills
- English
Payment and Reconciliation Specialist
Center for Bone & Joint Surgery —Wellington, FL
- Private practice
- Surgery
- HIPAA
- Health savings account
- Paid holidays
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7d
Follow Up Specialist- South Florida Office
Boys Town South Florida, Inc. —West Palm Beach, FL
- Full-time
- Microsoft Outlook
- Writing skills
- Mid-level
- Health insurance
- Tuition reimbursement

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Risk Adjustment Coder
Cano Health LLC —Jupiter, FL
Complete appropriate paperwork/documentation/system entry regarding claim/encounter information. Computer and peripherals, standard and customized software…
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Certified Medical Coder - Risk Adjustment (HCC)
Porter Cares, Inc. —Pompano Beach, FL
We are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home health assessments.
$50,000 - $54,000 a year
Quick Apply

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Engage with patients in various platforms including EMR portal messages, telephone calls, and in face-to-face communication. High school diploma/GED required.

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Risk Adjustment Coder

Cano Health LLC -
Jupiter, FL

Quick Apply

Job Details

Full-time

Qualifications

Stakeholder relationship building

Full Job Description

It's rewarding to be on a team of people that truly believe in making an impact!

We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.

Job Summary

The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow procedures and documentation policies regarding claim/encounter information and provide appropriate support to justify their recommendations.

Duties & Responsibilities

Essential Duties & Responsibilities

Review medical record information to identify all appropriate coding based on CMS HCC categories
Prepare the medical charts and track patient information via Excel spreadsheets.
Complete appropriate paperwork/documentation/system entry regarding claim/encounter information
Provide coding support, education and training related to, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards
Provide real time support and coordination with Primary Care Providers and Care Coordinators for MRA coding, HEDIS and STARS
Monitor coding changes to ensure that most current information is available
Work HCC suspect reports
Accurately code and submit encounters on a timely basis
Researching and addressing code questions for multiple provider offices as directed
Update the Director on the status on a weekly basis
Notifies Patient Experience Manager if annual wellness visits for patients have not been scheduled.
Travel to offices as necessary to complete on-site chart reviews
Performs post-audits on assigned offices and notifies office contact when codes are not addressed for provider review.
Support and participate in process and quality improvement initiatives.
Assists with billing claims as assigned.

Additional Duties & Responsibilities

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Due to the nature of this position, it is understood that coding requirements are expected to change; therefore, participation in affiliated classes and individual efforts to maintain current knowledge of these changes is required.

Education & Experience

Two (2) years prior medical coding experience
Proficient in Microsoft Word and Excel
Strong organization and process management skills
Strong collaboration and relationship building skills
High attention to detail
Excellent written and verbal communication skills
Ability to learn new tasks and concepts
CPC, CPC-A or CCS-P, CRC Coding Certification

Knowledge, Skills & Proficiencies

Builds Trust: Consistently models and inspires high levels of integrity, lives up to commitments and takes responsibility for the impact of one’s actions.
Pursues Excellence: Seeks out learning, strives to develop and expand personally, and continuously helps others upgrade their capability to contribute to the managed care plan.
Executes for Results: Effectively leverages resources to create exceptional outcomes, embraces changes and constructively resolves barriers and constraints.
Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that places emphasis on the success of the medical centers and insurance companies.

Job Requirements

Physical Requirements

This position works under usual office conditions. The employee is required to work at a personal computer as well as be on the phone for extended periods of time. Must be able to stand, sit, walk and occasionally climb. The incumbent must be able to work extended and flexible hours and weekends as needed. Physical demands include ability to lift up to 50 lbs. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Tools & Equipment Used

Computer and peripherals, standard and customized software applications and tools, and usual office equipment.

Disclaimer

The duties and responsibilities described above are designed to indicate the general nature and level of work performed by associates within this classification. It is not designed to contain, or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job. This is not an all-inclusive job description; therefore, management has the right to assign or reassign schedules, duties, and responsibilities to this job at any time. Cano Health is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.

Join our team that is making a difference!

Please see Cano Health’s Notice of E-Verify Participation and the Right to Work post here

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Refine Your Search

adjustment coder jobs in wellington fl

Risk Adjustment Coder

Risk Adjustment Analyst

Medical Collection Specialist

Lead Outpatient Coder

Payment and Reconciliation Specialist

Follow Up Specialist- South Florida Office

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