PBO Risk Adjustment Coding
Broward Health
Coding Specialist
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. Review and audit documentation for appropriate capture of CAT II coding Medicare Annual Wellness Visits Medicare Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms prior to submission to the payer.
Education: High School
Experience: 2-5 years of risk adjustment coding E/M procedures and diagnosis experience required.
Credentials: Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC)
Broward Health$50k - $54k
...Risk Adjustment Coder Porter is hiring a Risk Adjustment Coder to join our team! Porter combines the power of analytics with the power... ...seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home health assessments. The ideal...RiskWork from homeMonday to FridayWeekend work- ...to achieve these goals. The position will support ambulatory division including Health Point in establishing Medicare Risk Adjustment Medical Coding and Billing compliance Healthcare auditing of documentation revenue cycle management risk adjustment coding for the ambulatory...RiskContract workShift work
- ...Ensures procedures E&M and diagnoses are coded as documented in the medical records according... ...Medicare Annual Wellness Visits Medicare Risk HRA/HCC Assessment forms Medicare... ...High School Experience 2-5 years of risk adjustment coding E/M procedures and diagnosis experience...RiskShift work
- ...maintenance, financial, administration & risk management. As an off‑site leader, you will... ...trends and recommend strategies and adjustments Develop yearly operating budgets/forecasts... ...the timely receipt, reconciliation, and coding of all vendor invoices Ensure property closeout...RiskFor contractors
$56.59k - $90.32k
...Job Number: 1414120 Department: 1-Risk Management Division Opening Date: 01/... ...seeking qualified candidates for Claims Adjuster in the Risk Management Division. We... ...and spirit of Broward County's Employee Code of Ethics, gift, and conflict of interest...RiskFull timePart timeWork at officeFlexible hoursShift work$23 - $25 per hour
...The ideal candidates will have experience with diagnostic coding, chart review, and ICD-10 coding within a primary care setting... ...for coding specificity and compliance, and assisting with HCC/risk adjustment coding as needed. Experience with eClinicalWorks is preferred...RiskWork at officeImmediate startMonday to Friday- ...ERP system; ensure consistency of account coding across all transactions and functions... ...roles Monitor and account for inventory adjustments, write-offs, and shrinkage; own inventory... ...formalize best practices and reduce financial risk Department Leadership, Culture &...RiskShift work
- ...denials, and appeal outcomes to identify risks and recommend improvements. Reporting... ...and coordinate cases with clinical, coding, technical, and documentation teams. Ensure... ...organized, detail-oriented, and able to adjust their schedule as needed to engage with...RiskPermanent employmentWork at officeRemote workFlexible hours
- ...care. Job DescriptionRequirementsBoard Certification Clear and Active FL LicenseCurrent DEA CertificationKnowledge of coding - ICD 10, CPT, and MRA risk diagnosis Compensation and Benefits 200,000K with productivity bonusPossibility for Partnership and/or profit...RiskLive in
- ...accurately and on time, AP balances are clean and auditable, payment risk is minimized, and AP processes scale with growth, acquisitions,... ...Transaction Execution & Controls Oversee all invoice intake, coding, approvals, and payment execution (ACH, wire, check, virtual...RiskFull timeContract workWork at officeFlexible hours
- ...including pricing, quantities, purchase order numbers, account coding, approvals, and supporting documentation. Route invoices to the... ...odors, and/or loud noises. The exposure to hazards or physical risks requires following basic safety precautions and use of applicable...RiskPart timeWork at officeFlexible hours
- ...satisfaction Strong understanding of HEDIS, STAR ratings, risk adjustment, and preventative care measures Demonstrated ability to manage... ...and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment Participate in multidisciplinary meetings...RiskFull timeApprenticeshipLocal areaRelocation packageMonday to FridayFlexible hoursShift workDay shift
- ...ERP system; ensure consistency of account coding across all transactions and functions... ...roles Monitor and account for inventory adjustments, write-offs, and shrinkage; own inventory... ...formalize best practices and reduce financial risk Department Leadership, Culture & External...RiskWork at officeLocal areaRemote workShift work
- ...Claims Adjuster Fort Lauderdale, Florida, United States Specifications and Requirements Claims Adjuster General Duties and Responsibilities... ...the claim. Negotiate claim settlements with the Director of Risk Management, the County Administrator, the County Attorney,...RiskWork at office
$120k - $135k
...-assisted engineering practices , including responsible use of coding assistants to improve speed, quality, testing, documentation, and... ...~ Strong bias for action, with good judgment around quality, risk, security, and long-term maintainability ~ Valid Florida Driver...RiskWork at officeLocal areaFlexible hours- ...grow with us. Key Responsibilities Develop and execute an annual risk-based internal audit and monitoring plan in coordination with... ...across healthcare compliance risk areas, including billing and coding, claims, documentation, privacy, conflicts of interest, vendor oversight...RiskWork at office
- ...Coding Specialist Assigns in office procedures evaluation and management (E/M) coding and diagnoses codes as documented in the medical records all within the professional coding guidelines centers for Medicare and Medicaid (CMS) guidelines and policies to obtain reimbursement...Work at office
- ...Coding Specialist Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of... ...CPC), Certified Professional Medical Auditor (CPMA), Certified Risk Adjustment Coder (CRC) by AAPC, or Certified Coding Specialist (CCS),...RiskRemote jobWork experience placementWork at officeLocal areaShift work
- ...Provider Coding Educator & Auditor The Provider Coding Educator & Auditor within the Compliance Department is responsible for conducting risk-based professional coding audits, analyzing provider coding/billing trends, developing and delivering targeted education, and...Risk
- ..., strengthen identity verification, and support better real-time risk decisioning across financial services. We are seeking a Head... ...across model development, analysis, experimentation, production code, monitoring, and fraud-focused decision systems. Guide the team...Risk
$22.58 per hour
...entries; reviews validation printout for coding errors and insures that all FCIC /NCIC data... ...-PERFORMANCE AND ACROSS-THE-BOARD WAGE ADJUSTMENTS Employees are eligible for up to 5%... ...portal or by contacting Human Resources and Risk Management at (***) ***-**** or hr@...RiskHourly payFull timeTemporary workWork experience placementWork at officeMonday to ThursdayShift workNight shift- ...analyze vendor/sub data to support accurate scope coverage and reduce risk Collaborate with Leads and Managers to align on bid philosophy... ...a learning mindset; seek feedback and incorporate guidance Adjusts to schedule changes, addenda, or evolving project requirements Open...RiskFull timeFor contractorsFor subcontractorInternship
- ...of claims, effective denial management, coding and billing compliance, and adherence to... ...Credit management — the process of minimizing risk and ensuring payment — requires a... ...and corrective actions. Adaptability - Adjusts effectively to changes in payer requirements...RiskWork at office
- ...development team to guide direction for architecture, solution design, coding standards, development practices, and delivery disciplinePerform... ..., work breakdown, prioritization, and identifying delivery risk earlyExperience performing code reviews, design reviews, and...RiskFor contractorsWorldwide
$135k - $175k
...projects that meet the highest standards for safety, quality, and risk management—while supporting clients.Drive growth: Secure new... ...interaction even better. If you require further support or reasonable adjustments with regards to the recruitment process (for example, you...RiskFull timeRemote work- ...deficiencies and implement corrective action plans Support annual risk assessments and reviews of HR-related internal controls HRIS... ...changes, including new hires, terminations, compensation adjustments, and transfers, are properly authorized and documented Manage...RiskLocal area
- ...Patient Health Questionnaire-9 (PHQ-9)- Depression screening for risk of suicide for every new and follow up patient. Clinical... ...medication refills, vaccines and/or injections. Ensure proper ICD-10 coding/charges per diagnosis as per medical provider instructions....RiskWork at office
$90k - $110k
...We are a fast growing start-up company providing risk management and workers’ compensation services. We've doubled in size this year... ...claims experience Minimum two (2) years leading lost-time adjusters or claims teams Demonstrated oversight of complex, multi-state...Risk- ...Medical Coding Specialist Assigns procedures E&M and diagnoses codes as documented in the medical records all within the professional coding guidelines Centers for Medicare and Medicaid (CMS) guidelines and policies to obtain reimbursement. Meets deadlines to expedite...
- ...Patient Health Questionnaire-9 (PHQ-9) and depression screening for risk of suicide of every new patient. Clinical Duties - Track 1... ...medication refills, vaccines and/or injections. Ensure proper ICD-10 coding/charges by diagnosis as per medical providers instructions....RiskWork experience placementWork at office
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