Risk Adjustment PB Coder-Remote
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Job Location:
Rochester, NH - USA
Monthly Salary:
Not Disclosed
Posted on:
2 days ago
Vacancies:
1 Vacancy
Job Summary
The Risk Adjustment PB Coder reviews analyzes validates and assigns codes from Mayo Clinics patient medical record for physician services in the outpatient or inpatient setting to include but not limited to medical diagnosis diagnostic procedural services and E/M visits level coding information for various practices. A Risk Adjustment Coder is responsible for reviewing physician and other providers medical record notes and visit documentation to select or validate appropriate ICD-10-CM diagnosis codes as well as appropriate CPT-4 codes for CMS-1500 claim submissions. The primary focus of this role is diagnosis assignment related to risk adjustment payment methodology which may influence provider cost and quality indicators.
Qualifications
Associates Degree and 3 years of physician/professional coding experience required.
Bachelors Degree preferred in a health care related area.
This position requires Registered Health Information Administrator (RHIA) Registered Health Information Technician (RHIT) or coding credential of a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) required upon hire and during tenure.
Certified Risk Adjustment Coder (CRC) or Certified Clinical Documentation Specialist - Outpatient (CCDS-O) required within 3 years and thereafter.
Knowledge of professional/physician coding rules for inpatient hospital outpatient clinic and/or emergency settings. Experience with or education of risk adjustment payment methodology Hierarchical Condition Categories (HCCs) disease acuity common diagnostics treatment pharmacology and Outpatient coding guidelines for official coding and -depth knowledge of medical terminology disease processes patient health record content and the medical record coding process. Knowledge of principles methods and techniques related to compliant healthcare billing/collections. May need to be familiar with provider-based billing (PBB) and critical access hospital (CAH) coding and billing requirements.
*This position is a 100% remote work. Individual may live anywhere in the US.
**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
Required Experience:
IC
Key Skills
- Collection And Recovery
- Banking
- ABAP
- Insulation
- Investment Management
- Client Services
About Company
Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive ... View more
