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Cano Health

Miami Lakes, FL

Risk Adjustment Coder Compensation Jobs in Miami Lakes, Florida

Location11000 SW 104th St, Miami Lakes, Florida 33186
Employment TypeContractor
Date Posted2022-07-07
Direct Apply
Valid Through2023-02-13

Job Description:

At Cano Health, 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 Cano Movement is proof of what everyday people with a passion for health care can accomplish together.

Join the Cano Movement! The movement that doesn’t just offer a job, it offers an opportunity to serve and grow with purpose. At Cano you will be part of a collaborative team, dedicated to the pursuit of health & wellness excellence.

Cano Health 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.

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.

• 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.

• 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

Cano Health 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.

Requisition ID: 2022-4773

External Company URL: canohealth.com

Street: 5801 Northwest 151st Street

Job ID: 6092082319656084253

Miami Lakes, Florida Jobs

33186 Jobs

Cano Health Jobs

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