Medical Coding Adjustment Specialist II

Medical Coding Adjustment Specialist II

Millennium Physician Group

Full Time (MondayFriday 8AM4:30PM)

Remote Position

The Medical Coding Adjustment Specialist II is responsible for reviewing a patients medical records after a visit and translating the information into providerselected ICD10CM codes that insurers use to process claims from patients. Their duties include confirming treatments with medical staff identifying missing information and submitting forms to insurers for reimbursement ensuring the accuracy and completeness of providerselected ICD10CM codes before claim submission. You will also be required to abstract and assign ICD10CM diagnosis codes supported in the encounter documentation that were not initially assigned by the rendering provider. You will work in tandem with other members of the MRA Department.

Responsibilities
Maintains active professional certification and complies with all educational professional and ethical requirements of said certification.
Demonstrates knowledge of health systems operations including an understanding of reimbursement methodologies and coding conventions.
Demonstrates ability to perform detailed oriented and complete encounter level reviews for Hierarchical Condition Categories (HCC)/Risk Adjustment.
Possesses advanced knowledge and understanding of HCC/Risk Adjustment coding and documentation requirements.
Ensures all diagnoses are accurate and complete from the patient encounter under ICD10CM Official Guidelines for Coding and Reporting.
Demonstrates ability to identify and communicate trends in provider coding and documentation.
Delivers clear concise and professional communications to providers as necessary when documentation is inadequate ambiguous or otherwise unclear for medical coding purposes.
Responsible for documenting and tracking queries to providers in the identified database.
Possesses excellent written verbal communication and attention to detail skills.
Review patient encounters to identify chronic and currently treated conditions ensuring that official coding guidelines are followed.
Abstracts and/or validates the appropriate ICD10CM diagnosis code to the highest level of specificity supported in the patient record is present on the encounter claim before submission.
Perform comprehensive reviews of provider actions within the Value Based Alert Tool (VBAT) to identify outliers and areas of opportunity.
Analyze MRA data to identify patterns and when requested assist in the development of interventions at the provider and region level.
Keeps department leadership apprised of project activities through regular written and oral status reports. Proactively identifies risks that may hinder project success.
Collaborate and work in tandem with other members of the MRA Department.
Demonstrate excellent guest service to internal team members and patients.
Perform other related duties as assigned.

Qualifications
High school Diploma or GED equivalent
2 years of experience in a payer or healthcarerelated field.
3 years of HCC Coding experience preferred.
Certified Procedural Coder (CPC) CRC designation preferred.
Certified Documentation Expert Outpatient (CDEO) OR AAPC or AHIMA Approved coding credential or equivalent.
Must be proficient in 10key Word and Excel.
Maintains active professional certification and adheres to all industry educational professional regulations and ethical requirements.
Organizational skills with a focus on tracking patient care and improving patient flow.
Proven knowledge of compliance and uptodate guidelines regarding applicable coding and documentation.
Understands and complies with policies and procedures for confidentiality of all patient records HIPAA and security of systems.
Possesses excellent attention to detail.
Ability to maintain a consistent accuracy rate of 95 or above.
Works effectively and efficiently within a team environment.
Must be able to meet productivity standards established by Leadership.
Ability to work independently in a fastpaced crossfunctional environment.

Benefits:

• 3 weeks PTO & 7 paid holidays
• Medical Dental Vision
• Employer Paid Basic Life & Short Term Disability coverage (goes into effect after 1 year of fulltime employment)
• 401(k) with match
• Employee Wellness
• Other Employee Discount programs like Tickets at Work and cell phone discounts
• Other benefits: Dependent Care FSA Voluntary Life Long Term Disability Critical Illness Pet Insurance and more

See Full Job Description for more details

Why Millennium

Millennium Physician Group is one of the largest comprehensive primary care practices with healthcare providers throughout Florida.

At Millennium Physician Group you will find an organization that focuses on family and building a strong network of people to care for the communities we serve. We are always searching for employees who have a strong customer service attitude fantastic teamwork skills and a willing smile ready to share.

Our promise is to provide you with the tools to do your job successfully as well as providing a team atmosphere that empowers you to seek better ways to deliver care to our patients and their families. We also promise to care for you as an individual and help you grow in your role with Millennium Physician Group.

If you are interested in joining an organization that puts an emphasis on team work and family then Millennium Physician Group is the right choice.

Required Experience:

Unclear Seniority