PBO Risk Adjustment Coding

Summary

Ensures procedures E&M and diagnoses are coded as documented in the medical records according to ICD-10-CM CPT-4 and HCPCS in an effort to maintain accurate coding and obtain reimbursement all within the professional coding guidelines Centers for Medicare and Medicaid (CMS) guidelines and Broward Health policies.

Responsibilities

• Review and audit documentation for appropriate capture of CAT II coding Medicare Annual Wellness Visits Medicare Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms prior to submission to the payer.

Requirements

• 2-5 years of risk adjustment coding E/M procedures and diagnosis experience required.

Credentials

• Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC).
• Proficient in Microsoft Word Excel and PowerPoint.
• Certified in Electronic Health Records NextGen and Cerner experience preferred.

Benefits

• No specific benefits mentioned.

Pay

• No specific pay details mentioned.

Schedule

• Shift 1 FTE: 1.000000