Risk Adjustment Coder
On-site · Florida, United States
Job Summary
Risk Adjustment Coder at Suvida Healthcare responsible for coordinating and supporting prospective, retrospective, and concurrent chart reviews using HCC risk adjustment coding to translate, input, and validate medical record data. Duties include reviewing medical records, ensuring codes are supported and compliant with guidelines (MEAT), implementing pre- and post-visit audits, engaging physicians and staff, obtaining records for audits, ensuring regulatory compliance, educating providers on coding and documentation policies, identifying missing documentation and coding opportunities, visiting providers onsite for education, and meeting daily production and 95% accuracy goals. Requires 3+ years ICD-10 coding, Medicare risk adjustment coding, 2+ years in prospective/retrospective reviews, 1+ year provider education, 1+ year CPT/E&M coding, 1+ year outpatient primary care coding, and certification such as CPC/CPMA/CRC/CCS-P/CCS/RHIA/RHIT. Education: High School or Associate’s Degree. Benefits include comprehensive medical/dental coverage, mental health support, PTO, leave policies, 401k, and more.
Required Qualifications
- ICD-10 coding: 3+ years (Required)
- Medicare risk adjustment coding: 3+ years (Required)
- Prospective and concurrent Risk adjustment retrospective review: 2+ years (Required)
- Provider education – 1+ year experience (Required)
- CPT and E&M coding: 1+ year (Required)
- Outpatient Primary Care coding : 1+ year experience (Required)
- Elation EMR (Preferred)
- CPC /CPMA/ CRC/ CCS-P/ CCS/ RHIA or RHIT certification (Required)
- High School or Associate’s Degree Required
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