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LeeHealthCareers

Career Paradise

ca·reer par·a·dise | /ke’rir ,pere’dīs/ noun

Risk Coding Analyst

Job Details

Location:
Fort Myers, FL

Category:
Coder

Type:
Full Time

Schedule:
Days

Job Ref:
8805

Remote Position (FL Only)

This is a remote position incumbents, who reside in Florida only, may work at home. There may be occasional situations that require work to be performed on-site at an assigned Lee Health location.

The Risk Coding Analyst will conduct provider medical record audits analyzing medical record documentation to ensure accuracy of CMS Hierarchical Condition Categories (HCC) and determines potential chronic conditions applicable to MRA reimbursement.

  • Subject matter experts for proper risk adjustment coding and CMS data validation
  • Reviews documentation for missed conditions
  • Works in conjunction with internal positions to include Provider Relations, Quality, and Clinical Coding Nurse Consultants to ensure compliance of CMS risk adjustments guidelines are met.
  • Analyze MRA data to identify patterns and development of interventions to coordinate an educational work plan
  • Communicates audit results to the Clinical Coding Nurse Consultants with suggestions for improvement and re-training topics
  • Participates effectively in clinical documentation improvement initiatives and team meetings to promote quality across all projects


Educational Requirements

Degree/Diploma ObtainedProgram of StudyRequired/
Preferred
and/or
BachelorsPreferred

Experience Requirements

Minimum Years RequiredArea of ExperienceRequired/
Preferred
and/or
3 YearsPhysician/Professional Service CodingRequired



State of Florida Licensure Requirements

LicensesRequired/
Preferred
and/or
Not Required

Certifications/Registration Requirements

Certificates/RegistrationsRequired/
Preferred
and/or
Certified Professional Coder (CPC)Required



Other Requirements


Must possess excellent written and verbal communication skills and the ability to deliver technical instruction to medical staff. Extensive knowledge of CPT and ICD-10 guidelines and principles. Must have a firm understanding of medical terminology. Must possess an independent working knowledge of Microsoft office products inclusive of word, excel and PowerPoint.

US:FL:Fort Myers



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