Porter (helloporter.com)
Certified Medical Coder - Risk Adjustment
Pompano Beach, FL
Sponsorship not specified$50k-$54kDetected 27 days ago
CSSComplianceHIPAAEHR/EMRICD-10Communication
About the role
- Porter is hiring a Risk Adjustment Coder to join our Team!
- Porter combines the power of analytics with the power of care.
- By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.
Responsibilities
- ️ Manage the provider query process to clarify documentation and ensure the completeness and accuracy of patient diagnoses, particularly related to chronic conditions.
- ️ Maintain a minimum of 98% coding accuracy to meet performance expectations and ensure compliance.
- ️ Collaborate with clinical teams to review documentation and provide insights on areas for improvement in coding and documentation.
- ️ Maintain confidentiality and ensure full compliance with HIPAA regulations.
- We deliver understanding, compassion, information, and peace of mind for your members.
- A key expectation is that the Risk Adjustment Coder will maintain 98% coding accuracy.
Requirements
- Certification Required - CPC or CSS
- Minimum 5 years of experience in risk adjustment coding, with specific experience in in-home assessments.
- Expertise in managing provider queries and improving provider documentation through coding feedback.
- Strong knowledge of CMS risk adjustment and quality initiatives, including Hierarchical Condition Categories (HCCs).
- Certification Required
- The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process.
- Proficiency in using coding clinics and reference tools for accurate coding and provider education.
- Experience with electronic medical records (EMR) and coding tools.
- Excellent communication skills, with the ability to collaborate with providers and clinical teams to drive coding improvements.
- Strong attention to detail, prioritizing coding quality and compliance.
Nice to have
- Experience in coding audits and providing actionable feedback to providers.
- Prior experience in telehealth or in-home care settings.
Compensation
- $50k-$54k
Benefits
- Competitive wage and benefits package.
- Opportunities for professional growth and continuing education.
- Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience.
- We are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home health assessments.
- Proficiency in utilizing coding clinics for provider education and feedback is essential.
- ️ Utilize coding clinics and other reference materials to provide providers with targeted feedback and education on improving documentation and coding accuracy.
- ️ Support coding education initiatives by creating and delivering training materials to providers, particularly focused on improving documentation practices.
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