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RISK ADJUSTMENT CODER / DOCUMENTATION SPECIALIST

Company: Baycare
Location: Clearwater
Posted on: August 14, 2019

Job Description:

Save Education - High School Diploma or GED - Associate's Degree Skills - Computer Skills - CPT Coding - ICD-10 - Clinical Documentation Certification - Medical Coding Certification Description The Risk Adjustment Coder/Documentation Specialist supports BayCare Physician Partners by conducting provider medical record audits to be in compliance with regulatory and ICD-10-CM diagnosis coding requirements. Understands the impact of ICD-10-CM diagnosis codes on the CMS HCC risk adjustment model and always coding to the highest level of specificity. They will promote accurate reporting of clinical conditions and documentation reflecting the care provided to patients, which will improve the care provided at the point of service and as patients move through the health care continuum. They will also work to complete analysis of practice coding patterns and provide education and training regarding risk adjustment and appropriate documentation to providers. CPC or CCS-P certification is required. CCS, CDIP, CCDS, or CRC certification is preferred. Must have in-depth knowledge of ICD-10 diagnosis codes, and an understanding of CMS HCC risk adjustment model. Must utilize CPT codes appropriately. Qualifications Certifications and Licensures Required Reference summary for details Certification Preferred Reference summary for details Certification Education Required High School or Equivalent Preferred Technical Coding Preferred Associate's Nursing Preferred Associate's Related Field Experience Required 1 year Coding Or 1 year Billing Specific Skills Required Customer service skills Required Written and verbal communication skills Required Interpersonal skills Required Work independently Required Work with a team Required Critical thinking skills Required Organizational skills Required Administrative and clerical skills Required Computer skills appropriate to position Required Knowledge of regulatory standards appropriate to position Required Medical terminology use and understanding

Keywords: Baycare, Clearwater , RISK ADJUSTMENT CODER / DOCUMENTATION SPECIALIST, Other , Clearwater, Florida

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