Remote Risk Adjustment Coder (LPN/LVN, RN) – Florida

Job Overview

  • Clinical License LPN, RN
  • State(s) FL

Full job description

Greenbrook Medical is looking to hire a full-time or part-time Medical Risk Adjustment Coder for our growing primary care organization that serves Medicare Advantage beneficiaries! Have you been searching for a healthcare company that will value your skills? You might just be a perfect fit for this position if you thrive in a fast-paced, exciting culture that emphasizes teamwork, integrity, and compassion for the patients we serve.

This position earns a competitive salary, depending on experience. We provide fantastic benefits, including health benefits, a 401k matching plan, paid holidays, and PTO (paid time off)!

Normal hours of clinic operation are Monday- Friday 8:00am-5:00 pm. However, this position is virtual and can be completed on your own schedule. Although we are based in Tampa, FL, the position can be performed virtually. However, occasional on-site presence for teambuilding purposes is a plus.

RESPONSIBILITIES OF THE ROLE

  • Utilizes ICD-10, CPT and HCPCS codes for reporting diagnoses and procedures.
  • Maintains performance and quality by conducting ongoing audits of physicians’ medical records to ensure that submitted ICD-10-CM codes are fully supported by the clinical documentation.
  • Assigns all potential HEDIS-allowable codes for appropriate services to be captured.
  • Ensures progress notes are coded accurately and to the highest level of specificity following established coding guidelines. Ability to abstract valid codes from hospital claims data, radiology reports, and specialist provider notes.
  • Review and complete system generated reports to correct or complete missing data as requested.
  • Analyze MRA reports to identify and confirm unreported and/or unresolved medical conditions of members based on supportive medical documentation.
  • Effectively communicate the audit process and results to appropriate management, and assist senior level staff in providing recommendations for process improvement so that productivity and quality goals can be met, and operational efficiency can be achieved.
  • Queries the physician for clarification and to obtain accurate and complete documentation as needed.
  • Maintains productivity goals set by the department.
  • Enhances and maintains coding knowledge and skills.
  • Provides feedback to Supervisor regarding any coding issues.
  • Maintains patients confidentiality at all times, according to legal requirements and privacy laws. Follows established policies and procedures.
  • Educates providers on HCC Coding and clinical documentation requirements related to risk adjustment.
  • Supports ongoing review and query process to ensure that any amendment occurs in a timely and compliant manner.
  • Effectively manage special projects and other tasks as assigned.
  • Attends departmental meetings as required.
  • Cooperates with other personnel to achieve department objectives and maintain good employee relations, and interdepartmental objectives.

QUALIFICATIONS FOR THE ROLE

  • Minimium High School degree or equivalent; College or Associate degree preferred
  • Certified Professional Coder (CPC) and/or Certified Risk Adjustment Coder (CRC) certification strongly preferred, and ideal candidates must have at least 3 years of experience with risk coding
  • Minimum three-years of coding experience using ICD-10 or equivalency
  • Minimum 1 year of experience with HEDIS/Stars
  • Registered Nurse (RN) or Licenses Practical Nurse (LPN) preferred
  • Advanced knowledge of medical codes, terminology, abbreviations, anatomy & physiology, major disease, pharmacology and metric system.
  • Intermediate level of proficiency in MS Office – Excel, PowerPoint, and Word
  • Strong organizational skills in multiple settings, as well as the ability to exercise judgment and initiative.
  • Ability to defend coding decisions to both internal and external audits.
  • Ability to work in a continuously changing environment.
  • May work remotely, but ideally able to occasionally come in person to our clinics in Tampa, FL

Job Types: Full-time, Part-time

Pay: $60,000.00 per year

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Flexible schedule
  • Health insurance
  • Paid time off
  • Vision insurance

Work setting:

  • Remote

Education:

  • High school or equivalent (Required)

Experience:

  • ICD-10: 3 years (Required)
  • MRA coding: 3 years (Required)

License/Certification:

  • Certified Professional Coder (Required)
  • CRC (Required)
  • RN License (Preferred)
  • LPN (Preferred)

Work Location: Remote

 

 

 

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