MRA Coding Specialist
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Job Location:
Henderson, NV - USA
Monthly Salary:
Not Disclosed
Posted on:
2 days ago
Vacancies:
1 Vacancy
Job Summary
People. Passion. Purpose.
At P3 Health Partners our promise is to guide our communities to better health unburden clinicians alignincentivesand engage patients. We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care transforming it from sickness care into wellness guidance. If you are passionate about yourwork;eager to havefun;and motivated to be part of a fast-growing organization then you should consider joining our team.
Overall Purpose
The MRA Coding Specialist reviews retrospective medical record documentation and supports the providers by ensuring documentation supports the submission of relevant ICD-10-CM code informationin accordance withnational ICD-10-CM and MRA coding guidelines as well as internal policiesguidelinesandappropriate reimbursementrequirements.âThis person will ensure member encounter data (disease conditions) is being accuratelydocumentedand relevant ICD-10-CM diagnosis codesare captured.âThe outcome will beaccurateand complete capture of all MRA HCC diagnosis codes that support the documented clinical severity and complexity of the member for each encounter reviewed.â
Essential Functions
- Medical records (notes/charts) will be assigned to review and code electronicallyâ
- Abstract and code ICD-10-CM MRA HCC diagnosis based on clinician documentation and sending queries when necessaryâ
- Perform ongoing analysis of medical records forappropriate codingcomplianceâ
- Research and resolution of codingprojects asassignedâ
- Responsible for daily production goal and quality goal of 95% accuracyâ
- Attend conference calls as necessary to provide information and/or feedbackâ
- Other duties as assigned by supervisor/managerâ
Knowledge Skills and Abilities
- Knowledge of MRA HCC coding guidelines and methodologiesincluding;ICD-10-CM CMS AHA Coding Clinic and HHSâ
- Advancedproficiencywith Microsoft Officeâ
- Extensive knowledge in medical terminology and ability to research coding related questions
- Ability to work independently and collaboratively in a fast-paced team environmentâ
- Excellent verbal written and interpersonal communication skillsâ
- Dependable highly motivated team player with a great attitudeâ
- Possess strong organizational skills and attention to detail technically savvy self-motivated with the ability to troubleshoot and problem solveâ
- As part of the screening process all coders must take and pass a coding test (with 90% accuracy)â
Experience
- 3 years of coding and audit experience and understanding of Medicare Risk Adjustment compliance rules and regulationsâ
Education
- High school diploma or equivalent required.â
- Certified through AAPC or AHIMA (CPC CCS RHIT) CRC preferred or willingness to obtain
Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
P3 Health Partners is TRANSFORMING HEALTHCARE. We support healthier patients and communities. Driven by people, with passion and purpose—That’s the power of P3. P3 is a leader in population health ... Read more
