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#: 32555254851
      Employer Industry: Healthcare Services

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

      What to Expect (Job Responsibilities):
      - Partner with Healthcare Advocates to provide support and training to providers on documentation and coding accuracy
      - Utilize analytics to identify and target providers for Medicare Risk Adjustment training
      - Perform audits of providers' medical charts to ensure appropriate documentation for submitted diagnoses
      - Educate providers on quality and CMS-HCC Risk Adjustment payment methodology and proper chart documentation
      - Develop and present documentation and coding training to clinicians and practice managers

      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
      - Proven ability to manage relationships with physicians, hospitals, and health systems
      - Proficient in MS Office and coding software, with the ability to travel within the state up to 75%

      How to Stand Out (Preferred Qualifications):
      - CPC-I and/or CPMA certifications from AAPC
      - 4+ years of clinic, hospital, or managed care experience
      - Experience in a leadership position within a physician practice
      - Solid communication and presentation skills
      - Proven relationship-building skills with clinical and non-clinical personnel

      #HealthcareServices #CodingConsultant #CareerOpportunity #RemoteWork #ProfessionalDevelopment
  • About the company

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