Medicare Risk Adjustment Specialist - Medical Assistant

Complete Health • Jacksonville, FL

3d • Onsite

About The Position

Searching for a strong Medical Assistant or Certified Nursing Assistant for a rapidly growing company who would like to come off the floor and become a Medicare Risk Adjustment Specialist.

Requirements

• High School Diploma or Equivalent (Required)
• Medical Assistant or Certified Nursing Assistant
• 2 -- 3 years Back Office, Primary Care preferred
• Critical Thinking
• Excellent time management skills and ability to multi-task and prioritize work
• Strong organizational and planning skills
• Flexibility
• Team Player
• Autonomy

Responsibilities

• Reviews medical record and claims information to identify all appropriate coding based on Centers for Medicare and Medicaid Services Hierarchical Condition Categories (CMS-HCC & HHS-HCC) models
• Abstract all risk adjusted diagnosis codes from acceptable provider documentation and in accordance with industry standards for coding and reporting.
• Adherence to current industry standard, as defined in the ICD-10 guidelines for coding and reporting.
• Conduct Provider queries for any documentation for risk conditions within client electronic medical record and/or other query system
• Develop and share guidelines/best practices with internal risk adjustment coders to improve coding documentation techniques.
• Help with special projects within our Risk Adjustment Department

What This Job Offers

• Career Level: Mid Level
• Education Level: High school or GED