Job Information
Insight Global Risk Adjustment Coder in Fort Myers, Florida
Job Description
Insight Global Health is seeking a dedicated risk adjustment coder for a health care client located in the Fort Myers, FL area to join their team. The risk adjustment coder will be responsible for:
-Performing medical record audits to ensure compliance with all applicable federal, state and local regulations, as well as with institutional/organizational standards, practices, policies and procedures
-Performing prospective and retrospective reviews and clinical documentation improvement opportunities
-Translating patient histories, symptoms, diagnoses and treatments into codes using HCC coding
-Providing guidance and advice for reporting policies mandated by government entities and other payers for completion of coded data including level of service, diagnosis, procedure and diagnostic code assignments
-Reviewing and identifying trends in coding discrepancies and notify applicable department for potential training and education
-Working collaboratively to develop and maintain educational materials and training programs for provider education
-Identifying issues and determining impact to risk adjustment models and reports results for various products and services
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com .
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Skills and Requirements
· 3+ years experience in Physician/professional service coding
· 3+ Experience with Medicare risk adjustment coding and HCC coding (retrospective and prospective experience)
· Valid CPC certification
· Experience with provider education -Bachelors Degree or associates degree in related field preferred
-EPIC Experience
-CRC certification null
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.