It’s an exciting time to join the Complete Health Team!
Searching for a strong Medical Assistant for a rapidly growing company who would like to come off the floor and become a Medicare Risk Adjustment Specialist.
Essential Duties and Responsibilities:
- 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
- Critical Thinking
- Excellent time management skills and ability to multi-task and prioritize work
- Strong organizational and planning skills
- Flexibility
- Team Player
- Autonomy
Education and Experience Requirements:
- High School Diploma or Equivalent (Required)
- Certified Medical Assistant
- 2 – 3 years Back Office, Primary Care