HCC / MRA Coder

26 Jan 2023
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Asaar Medical is seeking a HCC / MRA Coder. Supervisory experience is a plus. Must be willing to travel to local offices at times.

Duties:

Offer real-time support and coordination for Primary Care Providers and Care Coordinators for MRA Risk Coding, HEDIS, and STARS.

Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Asaar Medical's overall success first.

Review patient charts monthly for each MRA Coder assigned to their Supervision per the MRA coding and compliance guidelines Provide guidance and oversight for internal MRA coding reviews in compliance with an internal review process

The monthly review will be documented per compliance protocol.

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.

Educates clinicians and non-clinician office staff on coding guidelines, documentation standards, and appropriate Medicare Risk Adjustment (MRA) procedures.

Assists in education and transition with onboarding new providers, optimally within their first month.

Reviews diagnoses and patient charts to identify trends and point out potentially missed chronic conditions to providers.

Develops educational material as needed to target identified gaps. Reviews internal educational materials to ensure they are up to date; collaborates with Learning and Development when changes are necessary.

Sets up and conducts 1:1 meeting with market providers

. Assists during health plan and Compliance audits as needed. Conducts quarterly audits of providers with high eMRA and meets with them frequently to achieve improvement.

Works with internal EMR to recommend accuracy in documentation and diagnoses. Be the market level provider interface and liaison

Works closely with clinical and HRDD (High Risk Disease Detection) leadership to make sure coding standards are met and there is maximization of appropriate and accurate coding, as well as prevention of inappropriate coding.

Works with data teams to identify any potential gaps related to Risk Adjustment.

Collaborates with technology team to improve electronic documentation of all clinical conditions during encounters.

Stays abreast of CMS updated requirements and notifies IT so that dashboard can reflect the changes

. Auditing appropriate capture and billing of HCC codes to simulate Risk Adjustment Data Validation audits.

Teams with health plan MRA departments as needed to ensure appropriate acceptance of encounter data and accuracy of submissions.

Collaborates with Operations Directors, Market Chief Medical Officers and Network Directors to identify areas of opportunity

POSITION SUMMARY: The (MRA) Coding Supervisor is responsible for ensuring the accuracy and efficiency of the MRA Coders’ work. Approves MRA Coder time off requests. ESSENTIAL RESPONSIBILITIES OF THE SUPERVISOR OF MRA CODING: Ensure HPI Time and Attendance policies are followed by MRA Coders

Job Type: Full-time

Salary: $22.00 - $32.00 per hour

Full-time with full benefits package

  • ID: #48838724
  • State: Florida West palm beach 33401 West palm beach USA
  • City: West palm beach
  • Salary: $22.00 - $32.00 Per Hour
  • Job type: Full-time
  • Showed: 2023-01-26
  • Deadline: 2023-03-26
  • Category: Healthcare
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