California Jobs

Medicare Risk Adjustment Coding Consultant - Remote within San Diego, CA Area


Pay$71600.00 - $140600.00 / year
LocationSan Diego/California
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: 32427582206
      Employer Industry: Healthcare Services

      Why consider this job opportunity:
      - Salary up to $140,600 annually
      - Comprehensive benefits package including equity stock purchase and 401k contribution
      - Opportunity for career advancement and growth within the organization
      - Flexibility to work remotely one day a week
      - Supportive and collaborative work environment focused on health equity
      - Chance to make a positive impact on health outcomes for communities served

      What to Expect (Job Responsibilities):
      - Partner with Healthcare Advocates to support providers in improving documentation and coding accuracy
      - Utilize analytics to identify providers for Medicare Risk Adjustment training
      - Facilitate audits of medical charts to ensure appropriate documentation for diagnoses
      - Educate providers on quality and CMS-HCC Risk Adjustment payment methodologies
      - Provide customized documentation improvement education and training to clinicians

      What is Required (Qualifications):
      - Certified Professional Coder (CPC) certification and/or Certified Risk Adjustment Coder
      - 4+ years of experience with physician billing and/or coding
      - Experience in CMS-HCC Risk Adjustment
      - Ability to travel within the state up to 75% to client locations
      - Proficient in MS Word, Excel, PowerPoint, and Outlook

      How to Stand Out (Preferred Qualifications):
      - CPC-I and/or CPMA certifications from AAPC
      - 4+ years of clinic or hospital and/or managed care experience
      - Experience in a leadership position in a physician practice
      - Proven knowledge of billing/claims submission processes
      - Strong communication and presentation skills

      #HealthcareServices #RiskAdjustment #CareerOpportunity #RemoteWork #HealthEquity
  • About the company

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