Explore 2 coder jobs from 2 hiring companies in Florida Ridge, FL, US. Filter by remote, salary, experience, and company, then open any listing to apply.

coder

Coder

Vero Beach South

Lakewood Park

Vero Beach

Fort Pierce

Gifford

South Beach

Port Saint Lucie

West Vero Corridor

Sebastian

Fort Pierce North

Stuart

Palm Bay

Palm City

Jensen Beach

Melbourne

Indian River Shores

Micco

West Melbourne

Fort Pierce South

Coder Jobs

Cano Health

Centene

Hybrid

Remote

It&#39;s rewarding to be on a team of people that truly believe in making an impact! We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.Job SummaryThe Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow procedures and documentation policies regarding claim/encounter information and provide appropriate support to justify their recommendations.Duties &amp; ResponsibilitiesEssential Duties &amp; Responsibilities<ul><li>Review medical record information to identify all appropriate coding based on CMS HCC categories</li></ul><ul><li>Prepare the medical charts and track patient information via Excel spreadsheets.</li></ul><ul><li>Complete appropriate paperwork/documentation/system entry regarding claim/encounter information</li></ul><ul><li>Provide coding support, education and training related to, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards</li></ul><ul><li>Provide real time support and coordination with Primary Care Providers and Care Coordinators for MRA coding, HEDIS and STARS</li></ul><ul><li>Monitor coding changes to ensure that most current information is available</li></ul><ul><li>Work HCC suspect reports</li></ul><ul><li>Accurately code and submit encounters on a timely basis</li></ul><ul><li>Researching and addressing code questions for multiple provider offices as directed</li></ul><ul><li>Update the Director on the status on a weekly basis</li></ul><ul><li>Notifies Patient Experience Manager if annual wellness visits for patients have not been scheduled.</li></ul><ul><li>Travel to offices as necessary to complete on-site chart reviews</li></ul><ul><li>Performs post-audits on assigned offices and notifies office contact when codes are not addressed for provider review.</li></ul><ul><li>Support and participate in process and quality improvement initiatives.</li></ul><ul><li>Assists with billing claims as assigned.</li></ul>Additional Duties &amp; Responsibilities<ul><li>Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Due to the nature of this position, it is understood that coding requirements are expected to change; therefore, participation in affiliated classes and individual efforts to maintain current knowledge of these changes is required.</li></ul>Education &amp; Experience<ul><li>Two (2) years prior medical coding experience</li></ul><ul><li>Proficient in Microsoft Word and Excel</li></ul><ul><li>Strong organization and process management skills</li></ul><ul><li>Strong collaboration and relationship building skills</li></ul><ul><li>High attention to detail</li></ul><ul><li>Excellent written and verbal communication skills</li></ul><ul><li>Ability to learn new tasks and concepts</li></ul><ul><li>CPC, CPC-A or CCS-P, CRC Coding Certification</li></ul>Knowledge, Skills &amp; Proficiencies<ul><li>Builds Trust: Consistently models and inspires high levels of integrity, lives up to commitments and takes responsibility for the impact of one’s actions.</li></ul><ul><li>Pursues Excellence: Seeks out learning, strives to develop and expand personally, and continuously helps others upgrade their capability to contribute to the managed care plan.</li></ul><ul><li>Executes for Results: Effectively leverages resources to create exceptional outcomes, embraces changes and constructively resolves barriers and constraints.</li></ul><ul><li>Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that places emphasis on the success of the medical centers and insurance companies.</li></ul>Job RequirementsPhysical RequirementsThis position works under usual office conditions. The employee is required to work at a personal computer as well as be on the phone for extended periods of time. Must be able to stand, sit, walk and occasionally climb. The incumbent must be able to work extended and flexible hours and weekends as needed. Physical demands include ability to lift up to 50 lbs. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Tools &amp; Equipment UsedComputer and peripherals, standard and customized software applications and tools, and usual office equipment.DisclaimerThe duties and responsibilities described above are designed to indicate the general nature and level of work performed by associates within this classification. It is not designed to contain, or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job. This is not an all-inclusive job description; therefore, management has the right to assign or reassign schedules, duties, and responsibilities to this job at any time. Cano Health is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.Join our team that is making a difference!Please see Cano Health’s Notice of E-Verify Participation and the Right to Work post <a target="_blank" href="https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf">here</a>

Risk Adjustment Coder

Two years medical coding experience; CPC, CPC-A, CCS-P, CRC certifications; proficient in Word and Excel; strong organization and communication.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.  <div>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</div><div></div><div>Must be a resident of Florida. Remote within specific geographies – Tampa / Orlando area preferred </div>Position Purpose: Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers.<ul><li>Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements.</li><li>Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.</li><li>Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).</li><li>Identifies specific practice needs where Centene can provide support.</li><li>Develops, enhances and maintains provider clinical relationship across product lines.</li><li>Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards.</li><li>Ability to travel up to 75% of time to provider offices.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul>Education/Experience: Bachelor&#39;s Degree or equivalent required. 3&#43; years in HEDIS record collection and risk adjustment (coding) required. Licenses/Certifications: One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCSPay Range: $27.02 - $48.55 per hourCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual&#39;s skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Quality Practice Advisor

Bachelor's degree; 3+ years in HEDIS data collection and risk adjustment; certifications such as CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A, CBCS.

Coder Jobs in Florida Ridge, FL, US | HiringCafe: every job on earth

Coder Jobs in Florida Ridge, FL, US

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