Risk Analyst

Supervisor Risk Adjustment Coding Supervises remote risk adjustment coding specialists in the PBO, support satellite operations, ensures effective follow-up and optimal processing of applications to comply with established polices procedures and time standards. Monitors, creates, and analyses applicable reports with financial and compliance data. Review and audit documentation for appropriate capture of CAT II coding, Medicare Annual Wellness Visits, Medicare Advantage plans suspect HCC condition forms prior to submission to the payer. Educate providers on HCC coding concepts and ICD-10 coding guidelines to ensure appropriate level of coding specificity. Ensures procedures, E&M and diagnoses are coded as documented in the medical records according to ICD-10-CM, CPT-4, and HCPCS, in an effort to maintain accurate coding and obtain reimbursement, all within the professional coding guidelines, Centers for Medicare and Medicaid (CMS) guidelines and Broward Health policies. Education: Essential: Three Years Credentials: Essential: Certified Professional Coder Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race, color, national origin, gender, gender identity or gender expression to pregnancy, sexual orientation, religion, age, disability, military status, genetic information or any other characteristic protected under applicable federal or state law. At Broward Health, the dedication and contributions of veterans are valued. Supporting the military community and giving back to those who served is a priority. Broward Health is proud to offer veteran's preference in the hiring process to eligible veterans and other individuals as defined by applicable law. #J-18808-Ljbffr