Certified Medical Coder

Plaza Medical Centers Miami, Florida
medical medical insurance medicare procedures management medicare advantage patients dental dental insurance team medical records procedures documentation
September 2, 2022
Plaza Medical Centers
Miami, Florida
Job Summary:

We are currently looking for a Certified Medical Coder candidate to join our MRA team. The Certified Medical Coder is responsible for the review of medical records to assure specificity of diagnosis, procedures and documentation within Medicare Risk Adjustment guidelines.

Responsibilities and Duties:
Clarify information in the medical record with the responsible provider and address questions
Keep up-to-date of coding guidelines and maintain current ICD coding book to ensure information is correct
Periodically ensure that encounter data is entered correctly in system(s) and check to ensure the encounters have been accepted by the carrier, reporting any non accepted encounters to management after attempts to resolve have not worked
Responsible for reviewing 100% of Risk Medicare Advantage charts in designated facilities twice annually
Maintains strictest confidentiality
Perform other duties as required

Qualifications and Skills:
High school diploma or equivalent
Certified Coder (AAPC, AHIMA, CBCS) required
Knowledge of HEDIS measures is a plus
Knowledge of medical coding procedures and practices
Knowledge of HMO and medical terminology
Strong organization, oral/written communication skills

Working Conditions:
Intermittent physical activity including walking, standing, sitting, handling files, lifting up to 30 lbs., and pushing carts
Exposure to patients in working environment

About Us:

Founded in 2005, Plaza Medical Centers (PMC) is a primary care physician and management organization that supports our patients including Medicare Advantage recipients throughout Southeast Florida. We are proud to offer outstanding career advancement opportunities, competitive salaries, paid holidays, medical & dental insurance plans, 401K Retirement, Paid Time Off, indemnity, life and disability benefits.

Job Type: Full-time

401(k) matching
Dental insurance
Disability insurance
Employee assistance program
Employee discount
Health insurance
Life insurance
Paid time off
Vision insurance
Monday to Friday

Certified Coder (AAPC, AHIMA, CBCS) (Preferred)

Work Location: One location

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