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 is home to our support departments like Finance, Accounting, Human Resources, Marketing and more.
Location: 5200 Northeast 2nd Avenue, Miami, FL, 33137, United States
Employee Type: Full‑Time
Contact Information: Miami Jewish Health Talent Team, Phone: 3057518626
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
Audits PACE medical records to ensure accuracy, upon enrollment and disenrollment, and assigns appropriate HCC codes per established department guidelines
Performs follow up coding of medical records as a result of internal and external reviews which identify coding discrepancies
Meets with PACE providers via MS Teams to assist with documentation improvement tied to reimbursement
Assists with other department duties as necessary
Attends department meetings and in‑services as needed
Job Requirements
Education: Associate degree in Health Information Management, or specialized training
Experience: A minimum of 1 year of coding experience in Risk Adjustment models and Hierarchical Condition Category (HCC) and ICD-10-CM coding guidelines and coding system
Licenses/Certifications: N/A
Abilities Required
Knowledge of medical terminology, anatomy, and physiology
Excellent communication, organizational and interpersonal skills
Proficiency in using electronic health records (EHR) systems and coding software
Knowledge of all MS Office applications
Required to meet time sensitive deadlines
Ability to multi-task
Attention to detail and accuracy
Functional Demands
Environment Work Conditions:
Normal working condition with adequate lighting and ventilation
Infectious Material Exposure:
N/A
Organizational Expectations
Ensures that resident’s/patient’s rights are adhered to
Demonstrates professionalism and accountability
Demonstrates a caring attitude consistent with Miami Jewish Empathicare SM toward MJH residents, patients, family members, employees, and other facility guests
Demonstrates excellent communication skills
Ensures confidentiality and security of patients’ medical information
Identifies and utilizes appropriate channels of communication
Able to speak, read and write English
Able to think and act calmly to meet unusual occurrences of the job
Adheres to the organization’s Mission, Vision and Values
Participates in departmental activities, meetings and in‑services and follows established guidelines
Maintains a safe working environment
Disclaimer
The above statements are intended to 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 of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
We offer competitive compensation, medical/dental/vision coverage and 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.
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