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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
Vacancy posted 5 days ago
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