Our Vision is to be the best choice for healthcare in our community

 

We are currently seeking a full time experienced HCC Coder (Hierarchical condition category) to join our coding team at our ACO office in Land O'Lakes.  

Job Summary: Conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care. Provide analysis of MRA data to identify patterns and development of interventions at the provider and market level. Must be familiar with Medical terminology and diagnosis. Ability to work on charts 20-30 patient review a day. Requirements for the job: Coding Certificate number (i.e. AAPC Member ID) Must be able to complete assigned HCC review for the assigned clinic. 40 Hours expected /Monday and Tuesday 8 AM - 5 PM at Remote/assigned clinic. 

*Coding Certificate (AAPC or AHIMA) HCC coding experience minimum 2 years*

WHAT DOES FMC HAVE TO OFFER ITS EMPLOYEES? 

We offer a wide choice of compensation and benefit programs that are among the best.  From competitive salaries to retirement plans. We make every effort to take care of the people who make our company great.

• Gives you an employer that you will have pride in working for
• Provides excellent training programs and opportunities for growth
• Offers Medical Benefits including:
  • Employer Contributions to HSA high deductible plan
  • Discounts at our medical facilities
  • Cigna Open Access OAPIN & OAP plans
• Supports Incentive based Wellness Programs
• Offers company sponsored Life Insurance with buy-up provisions
• Provides Dental, Vision, Long and Short Term Disability, Accident & Illness policy options
• Supports Paid Time Off and Holidays
• Gives generous 401K plan with annual 3% Employer contribution after one year of employment
• Values and appreciates its employees
• Boasts a reputation for superior health care and quality service

Essential Functions of the Position: Essential Functions:

• • Subject matter experts for proper risk adjustment coding and CMS data validation.
  • Works in conjunction with other departments to ensure that compliance of CMS risk adjustments guidelines are met.
  • Knowledge of ICD Diagnoses and HCC coding as per CMS guidelines.
  • Analyze MRA data to identify patterns and development of interventions at the provider level to coordinate an educational work plan for providers.
• Conduct provider education and training regarding risk adjustment to help to ensure accurate CMS payment and to improve quality of care. This includes training venues such as provider offices, hospitals, webinars, conference calls, email correspondence, etc. 

Candidate Skills:

• Advanced Demonstrated interpersonal/verbal communication skills
• Advanced Demonstrated written communication skills
• Advanced Knowledge of medical terminology and/or experience with CPT and ICD-10 coding
• Advanced Other Proficient in public speaking, presentations, and educational activities
• Intermediate Ability to analyze and interpret financial data in order to coordinate the preparation of financial records
• Intermediate Demonstrated written communication skills
• Intermediate Demonstrated organizational skills
• Intermediate Ability to work as part of a team
• Intermediate Ability to work independently
• Detail knowledge of risk adjustment coding, ICD Diagnoses and HCC coding as per CMS guidelines
• Knowledge of medical terminology and/or experience with HCC ICD-10 coding.
• Ability to analyze and interpret medical records, documentation and ICD Coding and CMS current HCC Model.
• Ability to work as part of a team.

Technical Skills:
    • Required Intermediate Microsoft Outlook
    • Required Intermediate Microsoft Excel
    • Required Intermediate Microsoft Word

Languages: Spanish a plus

Essential Additional Responsibilities:

• Maintains an organized and clean work area
• Participates in maintenance of front office supplies
• Performs other incidental and related duties as required and assigned
• Places phones on and off service at the appropriate times

 Physical and Mental Demands:

• Normal physical ability; able to sit for long periods
• Above average concentration and high level complexity of decision making
• High level verbal and written communication skills
• Above average ability to manage multiple tasks simultaneously
• High tolerance to stressful situation

Occupational Exposure:

• Low risk exposure to bloodborne pathogens and chemical hazards

 

Candidate Licenses and Certifications:

• Required A High School or GED
• Preferred An Associate's Degree in Health Information, Health Administration or other relevant field
• A license in one of the following is required:
• Required: One of the following certifications are required at the time of hire: CPC, CRC or CPM
• *Coding Certificate (AAPC or AHIMA) HCC coding experience minimum 2 years*

 

 

Candidate Experience:

• Required 2 years of experience in a hospital, a physician setting or a Managed Care Organization as a medical coder
• Required 2 years of experience in coding with knowledge of Medicare risk adjustment (HCC Coding)
• Required Other experience in teaching, training or an educator/instructor role required; but provider education experience is preferred
• Preferred Other managed care experience
• Various Electronic Medical Record (EMR) experience
• Required 2 years of experience in coding with knowledge of Medicare risk adjustment (HCC Coding). Primary care Physician coding experience and HCC coding experience in resume, also any MSO/IPA experience with HCC doing is +plus.

 

We are an Equal Opportunity Employer and make employment decisions without regard to race, gender, disability or protected veteran status