From Home Optum Health Coding Risk Adjustment Jobs in Miami, FL

At ClareMedica, exceptional is the standard.

Driven by our purpose to enhance the lives of the seniors in the communities where we have the privilege to work, live, and play, the ClareMedica team is comprised of the brightest and best in their fields of expertise. From clinical excellence to unparalleled administrative support and beyond, we're working together to help seniors live happier, healthier, fuller lives.

That kind of teamwork and passion for excelling can only exist in a workplace that fosters employees' growth and wellness and where their full potential and value are realized. At ClareMedica, we're excited about great people like you. We're even more excited to support you with the resources, training, benefits, competitive compensation, and more to help you thrive and succeed in our communities.

Opportunity awaits - welcome to ClareMedica.

ESSENTIAL FUNCTIONS:

We are seeking an accurate, detailed oriented Coder to join our team. You will play a key role in reviewing medical records and identifying, collecting, assessing, monitoring, and documenting claims and encounter coding information for adherence to risk adjustment models. You will review and accurately code office procedures.

DUTIES AND RESPONSIBILITIES:

• Review patient's charts to verify and ensure the accuracy, completeness, specificity, and appropriate coding.
• Reviews medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries to identify any chronic or new conditions to be sent to providers for validation.
• Performs ongoing analysis of medical charts for appropriate coding compliance.
• Ensures compliance with all applicable Federal, State, and/or County laws and regulations related to coding and documentation guidelines.
• Cooperates with other personnel to achieve department objectives and maintain good employee relations, and interdepartmental objectives.
• Meet daily coding production.
• Attends departmental meetings as required.
• Performs additional duties assigned by theManager as needed.

QUALIFICATIONS/REQUIREMENTS

• CPC - Certified Professional Coder; by AAPC or AHIMA.
• High school degree or equivalent; Bachelor's degree in related field preferred.
• CRC - Certified Risk Adjustment Coder, preferred.
• Maintain coding certification and attend in-service training as required.
• Two (2) years of medical coding experience, preferably.
• Understanding of medical terminology, anatomy, and physiology.
• Strong computer skills in data entry, coding, and knowledge of Electronic Medical Record software; Microsoft Office Suite.
• Accurate and precise attention to detail.
• Ability to multitask, prioritize, and manage time efficiently.
• Excellent verbal and written communication skills.
• Goal-oriented, organized team player.

WORKING CONDITIONS

General office working conditions.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential function.

While performing the duties of this job, the employee will be required to stand, walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs, balance; stoop, kneel, crouch or crawl; talk or hear. The employee must occasionally lift and or move up to 15 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust to focus. Manual dexterity is required to use desktop computers and peripherals.

WORK ENVIRONMENT

Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of his job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

TRAVEL

Occasional travel to the centers and attend special continuous education seminars. Travel is primarily local during the business day.

SAFETY HAZARD OF THE JOB