Risk Adjustment Coder Job

Full Job Title: Risk Adjustment Coder - Value-Based Services - Full Time

Job Number: 480797

Location: Lakeland, FL

Required Education and Experience:
High School Graduate. Certified coder CPC or CCS-P, and AAPC CRC certification. 2+ years coding, Medicare Risk Adjustment/Medicare Advantage and/or clinical. Plans experience. Familiarity with Evidence Based Medicine documentation.

1+ years of quality improvement experience, or other relevant experience preferred. Experience working in health care and insurance Industry.

Knowledge base of clinical standards of care, preventive health standards and Medicare Risk Coding.

Strong organizational skills and ability to work both independently and with teams. Ability to evaluate medical records with attention to detail. Ability to interact with medical staff, peers, and internal company staff at all levels. Ability to make formal presentations in front of committee and work group environments as needed. Proficiency in software applications that include, but are not limited to, EMR’s. Practice Management Systems, Microsoft Office-Word, Excel, PowerPoint. Excellent verbal and written communication skills. Excellent interpersonal skills necessary to interact with all levels of personnel.


The ideal candidate for this position has a knowledge of how to read a medical chart and assign the correct diagnosis (ICD-10-CM) codes for a wide variety of clinical cases and services for risk adjustment models (e.g., HCC, CDPS, and HHS Risk Adjustment).


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