Valora Medical Group
Orlando, FL, USA
Join to apply for the MRA Coder role at Valora Medical Group
Altamonte Springs, FL
Essential Duties and Responsibilities
Review and analyze patient medical records from primary care visits to identify and assign appropriate ICD-10-CM diagnosis codes.
Validate documentation supports risk adjustment coding and HCC capture in compliance with CMS guidelines.
Collaborate with primary care providers to clarify documentation, improve coding accuracy, and close care gaps.
Conduct retrospective and concurrent risk adjustment coding reviews.
Educate clinicians on documentation requirements for chronic conditions and HCC accuracy.
Maintain up-to-date knowledge of coding guidelines, regulatory requirements, and payer risk adjustment programs.
Assist with audits, quality reviews, and compliance monitoring related to risk adjustment coding.
Track and report coding trends, errors, and provider documentation opportunities.
Ensure compliance with HIPAA regulations and maintain...