Support accurate risk adjustment coding and documentation initiatives by analyzing coding and documentation trends, performing retrospective chart reviews and audits, assigning ICD-10-CM diagnosis codes, and collaborating with providers and operational teams to improve coding accuracy and risk capture.
The role is highly analytical, self-directed, and focused on maintaining strong coding quality and compliance standards.
Requirements & Qualifications
- Associate’s degree or equivalent
- 1+ year of clinical and/or Medicare risk adjustment experience; quality improvement experience preferred
- Healthcare and insurance industry experience
- Knowledge of clinical standards, preventive care, and office-based procedures
- Certified Professional Coder (CPC) or equivalent certification
- Proficiency with Microsoft Excel, Word, Outlook, and electronic medical record systems
Benefits & Perks
- Health, dental, and vision insurance
- 401(k) retirement plan with matching
- Employer-paid life insurance
- Short- and long-term disability coverage
- Paid time off
- Floating holidays
- Paid major holidays
- Employee Assistance Program (EAP)
Location
Florida, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago
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