Remote Risk Adjustment Coding Jobs in Clermont, FL

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Schedule:

Shift:

Address:

City:

State:

Postal Code:

Job Description:

Note: This position requires occasional travel to the Rocky Mountain and Mid-America regions, while primarily providing remote support to these areas from Florida.

• Analyzes medical record documentation for HCC accuracy, correct documentation, and educational opportunities.
• Provides education to physicians, advanced practice providers, and other key healthcare providers regarding the need for accurate, specific, and complete clinical documentation in the patient's medical record.
• Serves as a subject matter expert in clinical documentation and coding best practices for both internal and external partners.
• Participates actively in prospective program development, execution, and performance.
• Assists the Clinical Documentation Integrity team by making recommendations for process improvements to further enhance program coding goals and outcomes.
• Evaluates medical records to ensure Monitor, Evaluate, Assess, and Treat (M.E.A.T) criteria support the existence of submitted diagnosis codes.
• Collaborates with each operational team and their leadership in a matrix relationship.
• Provides direction and guidance to Risk Adjustment Coding Specialists and cross-functional team members within their respective clinics pertaining to Risk Adjustment.
• Maintains current knowledge of ICD-10-CM codes, CMS HCC Model and updates, CMS documentation requirements, and the Official Guidelines for Coding and Reporting, as well as state and federal regulations.
• Manages routine tasks and contributes to special project assignments to ensure ongoing compliance with federal and state privacy and data protection laws and regulations.
• Utilizes strong analytical and problem-solving skills to assess, analyze, interpret, and report data, metrics, and trends.
• Performs other duties as assigned.

Knowledge, Skills, and Abilities:

• Ability to develop, evaluate and improve workflows including ability to create process documentation. [Required]
• Knowledge of MS Office (Word, Outlook, Excel, and PowerPoint). [Required]
• Knowledge of healthcare operations. [Required]
• Knowledge and understanding of medical terminology and medical reporting. [Required]
• Strong background in ICD-10-CM coding. [Required]
• Communicate professionally in reporting results. [Required]
• Ability to interact effectively with physicians and other health care professionals. [Required]
• Able to be independent in daily work. [Required]
• Able to identify, analyze and effectively solve problems. [Required]
• Ability to prepare reports and presentations, and building/maintaining statistical spreadsheets. [Required]
• Ability to function in a high-paced environment. [Required]
• Utilize and demonstrate excellent critical thinking, problem-solving and deductive reasoning skills. [Required]
• Excellent organizational skills [Preferred]
• Excellent written and verbal English communication skills [Preferred]
• Ability to work with people of various backgrounds and maintain good interpersonal relationships with department staff, ancillary staff, providers, operations, and administration. [Preferred]

Education:

• Technical/Vocational School [Required]
• Bachelor's [Preferred]

Field of Study:

• Technical/Vocational School in Coding
• Bachelor's in a related field

Work Experience:

• 5+ years of coding experience, or experience with clinical documentation reviews and provider education [Required]

Additional Information:

• N/A

Licenses and Certifications:
Registered Health Information Technician (RHIT) [Required] OR Certified Coding Specialist (CCS) [Required] OR Certified Risk Adjustment Coder (CRC) [Required] OR Certified Documentation Improvement Practitioner (CDIP) [Required] OR Certified Clinical Documentation Specialist-Outpatient (CCDS-O) [Required] OR Certified Clinical Documentation Specialist (CCDS) [Required] OR Certified Professional Coder (CPC) [Required]
Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse:
https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.