Job Actions

Job Information

RISK ADJUSTMENT CODING SUPERVISOR
ORMOND BEACH FL 32173
Category: Health Care Industry
  • Your pay will be discussed at your interview

Job code: lhw-e0-90589710

Company Profile

Florida Health Care Plans

Contact Company


Local Information

Laugh while you Look

Sponsored Ads

Summary

  Job posted:   Wed Jun 6, 2018
  Distance to work:   ? miles
       
  1 Views, 0 Applications  
 
RISK ADJUSTMENT CODING SUPERVISOR
RISK ADJUSTMENT CODING SUPERVISOR



Department:Finance - General


Schedule:Full-time


Shift:1st shift


Hours:Mon - Fri; 8am - 5pm


Job Details:


+ High School Diploma or equivalent


+ POSITION SUMMARY: Coordinates, oversees and completes certain aspects of Risk Adjustment. Serves as coding subject matter expert and works collaboratively with Risk Adjustment Director, Medical Director and, Risk Adjustment Operations Supervisor to strategically plan and execute HCC coding efforts to yield desired outcomes. Formulates department specific and organization policies and procedures to support the Risk Adjustment program. Education, skills and experience: 1.Bachelor's degree in related field preferred. 2.RHIA, RHIT, CPC or CCS-Prequiredwith minimum five (5) years' experience in medical chart review and medical coding documentation preferred. 3.Extensive knowledge of CMS Risk Adjustment payment rules, regulations and guidelines as it relates to managed care organizations required 4.Extensive knowledge of Medical Terminology, ICD-10, CPT, HCPCS Coding and Medical Record Documentation required 5.Comprehensive understanding of coding rules and regulations is required 6.Ability to effectively communicate Medical Coding Documentation rules and regulations to Providers and/or staff required 7.Minimum two (2) years supervisory experience, preferably in a healthcare setting, required. 8.Must be able to work well and interact with others in a positive & professional manner when under stressful situations; must be a team player. 9.Experience in a Medicare HMO setting preferred10.Strong computer skills including AS400, Microsoft Office Suite, Data Base Management, and minimum typing of 30 w.p.m. required11.Excellent organizational, analytical, verbal and written communication skills required.12.Demonstrated ability to conduct and interpret quantitative and qualitative analysis13.Previous (3-5 years) experience in HEDIS/CMS Stars and/or Medicare Risk Adjustment14.Must be able to maintain flexible work schedule to meet departmental needs


+ EOE/M/F/Vet/Disabled





More Information »