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Company Name : Healthy Partners Primary Care
Location : Florida
Position : Remote Risk Adjustment Coder (Entry level)
Job Description : At Healthy Partners, our culture is a “family of families”, growing stronger together to improve the lives of our patients, communities, and our associates. A culture that succeeds because of the hearts and minds of our people. Our values and guiding principles transform our lives with purpose and passion, becoming one focused source of hopeful change. A leadership culture that cultivates and empowers our people to gain ownership for their contributions and success. The Healthy Partners Movement is proof of what everyday people with a passion for health care can accomplish together.Join the Healthy Partners Movement! The movement that doesn’t just offer a job, it offers an opportunity to serve and grow with purpose. At Healthy Partners you will be part of a collaborative team, dedicated to the pursuit of health & wellness excellence.Healthy Partners offers competitive salaries, medical, dental & vision insurance, employee mental health program, paid time off, paid holidays, 401(k) with employer match, employee stock purchase program, tuition reimbursement and much more.POSITION Summary: 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.Review medical record information to identify all appropriate coding based on CMS HCC categories. Complete appropriate paperwork/documentation/system entry regarding claim/encounter information. Support and participate in process and quality improvement initiatives.PRINCIPLE RESPONSIBILITIES: Review medical record information to identify all appropriate coding based on CMS HCC categoriesComplete appropriate paperwork/documentation/system entry regarding claim/encounter informationMonitor coding changes to ensure that most current information is availableReview and prepare charts for affiliates or medical centersWork HCC suspect reports and submit to the Director for reviewAccurately coding and submitting encounters on a timely basis after supervisor reviewDue 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 requiredKEY COMPETENCIES: 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 the insurance plan and medical center’s overall success first.EXPERIENCE/SKILL REQUIREMENTS/EDUCATION: One (1) year prior Risk Adjustment coding and/or billing experience.CPC, CPC-A or CCS-P, CRC Coding Certification.Familiar with Microsoft Word and ExcelFamiliarity with primary care medical chartsStrong organization and process management skillsStrong collaboration and relationship-building skillsHigh attention to detailExcellent written and verbal communication skillsAbility to learn new tasks and conceptsHealthy Partners provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.Job Type: Full-timeBenefits:401(k)401(k) matchingDental insuranceEmployee assistance programFlexible spending accountHealth insuranceLife insurancePaid time offTuition reimbursementVision insuranceSchedule:8 hour shiftMonday to FridayApplication Question(s):Do you live in Florida ?Experience:Risk Adjustment Coding: 1 year (Required)Medical office: 1 year (Preferred)License/Certification:Certified Risk Coder (CRC) Certification? (Preferred)Certified Professional Coder (CPC) Certification? (Required)Work Location: Multiple Locations
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