HCC Coder & Provider Engagement Specialist
- ASAAR Medical
- 2385 Northwest Executive Center Drive suite 120, Boca Raton, FL, USA
- $26.00 - $32.00 hourly
Job Description
ASAAR Medical is seeking a HCC Coder & Provider Engagement Specialist
***This is NOT a REMOTE Position *** May require travel ***
Duties:
Reporting to the Director of MRA and Risk Coding. the HCC / MRA Coder will offer real-time support and coordination for Primary Care Providers and Care Coordinators for MRA Risk Coding in a value-based care setting.
Engages providers by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts ASAAR Medical's overall success first.
Review patient charts and pursues excellence: Seeks out learning, strives to develop and expand personally, and continuously helps practices upgrade their capability to contribute to the ACO.
- Helps to educate clinician and non-clinician office staff on coding guidelines, documentation standards, and appropriate Medicare Risk Adjustment (MRA) procedures.
- Assists in education and transition with onboarding new providers, optimally within their first month.
- Reviews diagnoses and patient charts to identify trends and point out potentially missed chronic conditions to providers.
- Collaborates with Learning and Development when changes are necessary.
- Sets up and conducts 1:1 meeting with providers and practice managers.
Assists during health plan and Compliance audits as needed. Conducts quarterly audits of providers with high MRA and meets with them frequently to achieve improvement.
- Works with internal EMRs to monitor accuracy in documentation and diagnoses.
- Works closely with clinical and HRDD (High Risk Disease Detection) leadership to make sure coding standards are met and there is maximization of appropriate and accurate coding, as well as prevention of inappropriate coding.
- Works with data teams to identify any potential gaps related to Risk Adjustment.
- Collaborates with technology team to improve electronic documentation of all clinical conditions during encounters.
- Stays abreast of CMS updates
Auditing appropriate capture and billing of HCC codes to simulate Risk Adjustment Data Validation audits.
- Conduct thorough chart reviews for accuracy and completeness
- Monitor provider compliance with coding and documentation guidelines
- Assist with workflow accommodations based on provider group needs
- Monitor and review HCC coding suggestions
- Educate providers on HCC guidelines and documentation requirements as assigned
Benefits:
- 401(k) matching
- Dental insurance
- Employee discount
- Health insurance
- Paid time off
- Vision insurance
Job Type: Full-time
Pay: $26.00 - $32.00 per hour
Experience:
- HCC Coding: 2 years (Required)
- CRC or AAPC: 2 years (Required)
- EMR systems: 2 years (Required)
Ability to Commute:
- Boca Raton, FL 33431 (Required)
Required Experience Level
Minimum Education
Minimum Experience Required
Required Travel
Applicant Location
ASAAR Medical is a physician-led network of healthcare providers dedicated to modernizing the way we care for patients. As working physicians, our goals are centered around transforming the way you grow, and helping guide your practice forward so you can focus on patient care. As the demands of value-based care continue to grow, ASAAR Medical is a trusted partner in transforming the way we deliver care.
As the industry begins to encourage providers to transition away from fee-for-service (FFS) to Value Based Care, Physicians and their staff are facing a new form of complexity that has made running the practice more tedious, taking away from the time spent focused on their patients. Between managing and analyzing data, training staff on new technology, and the time spent on patient care, practices are becoming overburdened with process, which not only cuts into care, it cuts into profits.
ASAAR Medical can help simplify the way we care for patients in today’s market. We are a network of practicing physicians who understand the responsibility of care, and our network is designed to help you get back to putting patients first. When you join the ASAAR network, the shared benefits go well beyond just an increase in profit. You join a network committed to transparency, quality care, and shared expertise.