Medical Coder II

CLAREMEDICA HEALTH PARTNERS LLC•Miami, FL

1d•Onsite

About The Position

Claremedica is seeking an accurate, detail-oriented Risk Adjustment Coder to review medical records and identify, collect, assess, monitor, and document claims and encounter coding information in accordance with risk adjustment models. The role also reviews and accurately codes office procedures. The position is based at the Corporate Blue Lagoon location in Miami, Florida, and involves general office working conditions with occasional local travel to centers and continuing education seminars during the business day.

Requirements

CPC (Certified Professional Coder) certification from AAPC or AHIMA, plus any other coding certification.
High school degree or equivalent.
More than three years of medical coding experience, preferably.
Understanding of medical terminology, anatomy, and physiology.
Knowledge of ICD-10-CM and CPT guidelines, state and federal Medicare reimbursement guidelines, and English grammar and usage.
Strong computer skills in data entry and coding, including knowledge of Electronic Medical Record software and Microsoft Office Suite.
Accurate and precise attention to detail.
Ability to multitask, prioritize, and manage time efficiently.
Excellent verbal and written communication skills.
Goal-oriented, organized team player.
Maintain coding certification and attend in-service training as required.

Nice To Haves

Bachelor’s degree in a related field.
CRC (Certified Risk Adjustment Coder) certification.

Responsibilities

Review patient charts to verify and ensure accuracy, completeness, specificity, and appropriate coding.
Review medical records and related documentation—including medical histories, physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries—to identify chronic or new conditions for provider validation.
Perform ongoing analysis of medical charts for appropriate coding compliance.
Ensure compliance with applicable federal, state, and county laws and regulations related to coding and documentation guidelines.
Meet daily coding production expectations.
Cooperate with other personnel to achieve department objectives, maintain good employee relations, and support interdepartmental objectives.
Attend departmental meetings as required.
Perform additional duties assigned by the Senior Risk Adjustment Manager or Coder Lead.
Travel locally to centers and attend continuing education seminars as needed.