Brief Description: Miami Jewish Health is one of the largest providers of healthcare and living options for aging adults in the Southeast. Our main campus is located on 20+ acres just north of mid‑town Miami and houses support departments such as Finance, Accounting, Human Resources, Marketing, and more. Join us to do purposeful work with a diverse and respectful team. Job Title: HCC Risk Adjuster and Coder Job Summary: Reviews medical records and accurately codes and sequences diagnosis in order to obtain maximum reimbursement. Essential Job Functions Audit PACE medical records to ensure accuracy upon enrollment and disenrollment, and assign appropriate HCC codes per established department guidelines. Perform follow‑up coding of medical records resulting from internal and external reviews that identify coding discrepancies. Meet with PACE providers via MS Teams to assist with documentation improvement tied to reimbursement. Assist with other department duties as necessary. Attend department meetings and in‑services as needed. Education & Job Requirements Associate degree in Health Information Management or specialized training. Experience Minimum of 1 year of coding experience in Risk Adjustment models and Hierarchical Condition Category (HCC) and ICD‑10‑CM coding guidelines and coding systems. Licenses/Certifications None required. Abilities Required Knowledge of medical terminology, anatomy, and physiology. Excellent communication, organizational, and interpersonal skills. Proficiency in using electronic health record (EHR) systems and coding software. Knowledge of all MS Office applications. Ability to meet time‑sensitive deadlines. Ability to multi‑task. Attention to detail and accuracy. Environment Work Conditions Normal working conditions with adequate lighting and ventilation. Organizational Expectations Ensure resident’s/patient’s rights are adhered to. Demonstrate professionalism, accountability, and a caring attitude consistent with Miami Jewish Empathicare™ toward residents, patients, family members, employees, and facility guests. Ensure confidentiality and security of patients’ medical information. Identify and utilize appropriate channels of communication. Speak, read, and write in English. Act calmly to meet unusual occurrences of the job. Adhere to the organization’s Mission, Vision, and Values. Participate in departmental activities, meetings, and in‑services and follow established guidelines. Maintain a safe working environment. Disclaimer The above statements describe the general nature and level of work being performed by people assigned to this job. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required. All personnel may be required to perform duties outside of their normal responsibilities from time to time as needed. We believe in the power of empathy, the value of relationships, and the importance of a life well‑lived. Miami Jewish Health offers competitive compensation, medical/dental/vision coverage, a 403(b) retirement savings plan for eligible full‑ and part‑time positions, free on‑campus parking, an onsite fitness center, and more. Miami Jewish Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity, or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. #J-18808-Ljbffr