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Job detail

Risk Adjustment Coding Specialist II

Millennium Physician Group

Employer page
#Quality Assurance#Healthcare#Medical Coding#Clinical Documentation#Risk Adjustment#Prospective Review#Retrospective Review#Severity Of Illness#Concurrent Coding
#Patient Care Complexity
Full TimeRemote Ok0-2 yrsPosted 4 days ago

Location

New York

Quick overview

The specialist performs coding reviews and decision-making to validate provider documentation for clinical conditions. They are responsible for prospective, concurrent, and retrospective medical record reviews to ensure accurate severity of illness reporting.

Requirements summary

The candidate must be able to perform risk adjustment coding and quality assurance validation. They must be capable of reconciling provider documentation to reflect patient complexity and severity of illness.

Risk Adjustment CodingMedical Record ReviewClinical Documentation ImprovementDiagnosis CodingQuality Assurance Validation

Job description

Job Description

Summary ‎ Risk Adjustment Coding Specialist - Remote ‎ How will you make an impact & Requirements ‎ Formed in 2008 and headquartered in Fort Myers, Florida, with offices in Florida, North Carolina, and Texas, Millennium Physicians Group (MPG) is the largest independent physician group in the state of Florida and one of the largest in the United States. At Millennium Physician Group, our employees are the foundation of our success. Our promise is to provide you with the tools to do your job successfully, as well as providing a team atmosphere that empowers you to seek better ways to deliver care to our patients and their families. We also promise to care for you as an individual and help you grow in your role. Under the direction of Burden of Illness department leadership, the Risk Adjustment Coding Specialist is responsible for various aspects of decision-making and coding reviews to facilitate, obtain, validate, and reconcile appropriate provider documentation for clinical conditions that accurately reflect the severity of illness and complexity of patient care. This position is responsible for risk adjustment coding and quality assurance validation for the following programs, including but not limited to: Prospective medical record review Concurrent outpatient claim diagnosis coding Retrospective medical record and provider response reviews Beware of fraudulent job postings: While Mosaic Health job advertisements may be found on many sites, our current openings page and its associated Workday account are the only places we accept applications for open roles. If you suspect a job post is fraudulent, please let us know at recruiting@apree.health. Mosaic Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. Learn More about Mosaic Health Learn More about Millennium Physician Group Learn More about CareMore Health Learn More about Castlight Health Learn More about Vera Whole Health

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Millennium Physician Group

MP

Hiring organization

Millennium Physician Group

Founded in Port Charlotte, Florida, in 2008, and now headquartered in Fort Myers, Millennium Physician Group is one of the largest comprehensive physician-led groups with more than 900+ healthcare providers and 200+ locations now including FL, TX, NC, and GA. Services center on...

Explore employer profile
IndustryHospitals and Health Care
TypePrivately Held
Size1,001-5,000 employees
HQFort Myers, Florida
Founded2008

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