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Optum Health Coding Risk Adjustment Jobs in Florida

Pathways Health Partners

HCC Risk Coder

Leesburg, FL · On-site +1

$16.75 - $22.25/hr

... Health Plans. • Help coordinate training sessions for Physicians and staff on relevant coding ... An active CRC (certified risk adjustment coder) or CPC (certified professional coder) preferred. 2. ...

PedIM Healthcare

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...

PedIM Healthcare

HCC Coder (Lecanto)

Lecanto, FL

$13.75 - $18.50/hr

Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...

PedIM Healthcare

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...

Pedim

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...

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Optum Health Coding Risk Adjustment information

What are the typical daily responsibilities of an Optum Health Coding Risk Adjustment specialist?

On a daily basis, Optum Health Coding Risk Adjustment specialists review medical records to identify and accurately code diagnoses, ensuring completeness and compliance with risk adjustment requirements. They collaborate closely with clinical teams and other coders to clarify documentation and resolve discrepancies. The role often involves conducting chart audits, submitting coding queries, and staying updated on the latest coding guidelines and regulatory changes. Attention to deadlines and maintaining data quality are key parts of the job, making it both detail-oriented and highly collaborative.

What is an Optum Health Coding Risk Adjustment job?

An Optum Health Coding Risk Adjustment job involves reviewing medical records to assign appropriate diagnosis codes that impact risk adjustment programs. These coders ensure accurate documentation of chronic conditions to support healthcare reimbursement models. They work with providers to improve coding accuracy and compliance with regulatory guidelines. Strong knowledge of ICD-10-CM coding, risk adjustment models, and healthcare regulations is essential.

What are the key skills and qualifications needed to thrive in the Optum Health Coding Risk Adjustment position, and why are they important?

To thrive as an Optum Health Coding Risk Adjustment professional, you need a strong understanding of ICD-10-CM coding, risk adjustment methodologies, and medical terminology, often supported by certifications like CPC, CRC, or CCS-P. Familiarity with electronic medical record (EMR) systems, coding software, and compliance tools is essential. Attention to detail, analytical thinking, and effective communication are valuable soft skills in this role. These competencies ensure accurate coding, regulatory compliance, and optimal risk adjustment, directly impacting healthcare quality and reimbursement.

What are the most commonly searched types of Optum Health Coding Risk Adjustment jobs in Florida? The most popular types of Optum Health Coding Risk Adjustment jobs in Florida are:
What are popular job titles related to Optum Health Coding Risk Adjustment jobs in Florida? For Optum Health Coding Risk Adjustment jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Optum Health Coding Risk Adjustment jobs in Florida look for? The top searched job categories for Optum Health Coding Risk Adjustment jobs in Florida are:
Optum Health Coding Risk Adjustment jobs near you
Medicare Risk Adjustment Specialist - Medical Assistant

Medicare Risk Adjustment Specialist - Medical Assistant

Complete Health

Jacksonville, FL

$16.50 - $20.75/hr

Full-time

Posted 9 days ago

Complete Health rating

6.8

Company rating: 6.8 out of 10

Based on 21 frontline employees who took The Breakroom Quiz

Job description

SUMMARY OF JOB DUTIES:
Searching for a strong Medical Assistant or Certified Nursing Assistant for a rapidly growing company who would like to come off the floor and become a Medicare Risk Adjustment Specialist.
ESSENTIAL JOB FUNCTIONS:

  • Reviews medical record and claims information to identify all appropriate coding based on Centers for Medicare and Medicaid Services Hierarchical Condition Categories (CMS-HCC & HHS-HCC) models
  • Abstract all risk adjusted diagnosis codes from acceptable provider documentation and in accordance with industry standards for coding and reporting.
  • Adherence to current industry standard, as defined in the ICD-10 guidelines for coding and reporting.
  • Conduct Provider queries for any documentation for risk conditions within client electronic medical record and/or other query system
  • Develop and share guidelines/best practices with internal risk adjustment coders to improve coding documentation techniques.
  • Help with special projects within our Risk Adjustment Department


KNOWLEDGE/SKILLS/ABILITIES:

  • Critical Thinking
  • Excellent time management skills and ability to multi-task and prioritize work
  • Strong organizational and planning skills
  • Flexibility
  • Team Player
  • Autonomy

MINIMUM REQUIREMENTS

  • High School Diploma or Equivalent (Required)
  • Medical Assistant or Certified Nursing Assistant
  • 2 -- 3 years Back Office, Primary Care preferred


WORKING ENVIRONMENT

The position requires climbing, stooping, kneeling, crouching, reaching, standing, lifting, grasping, feeling, talking, hearing, repetitive motions, and finger use. Pushing and pulling are occasionally required. Use of a computer, keyboard, and telephone along with various office machines is an essential part of the job.


DISCLAIMER

The above statements are intended to describe the general nature and level of work being performed by the Medicare Risk Adjustment Coder. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. The Medicare Risk Adjustment Coder may be required to perform duties outside of their normal responsibilities from time to time as needed or as directed by supervision.

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