14 crc certified risk adjustment coder jobs found in Miami, FL

As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital...

Broward Health Corporate ISC is seeking a skilled medical coder to ensure E/M and diagnosis coding aligns with documented records. You will apply ICD-10-CM, CPT-4 and HCPCS codes following CMS guidelines and Broward Health policies. The role requires 2-5 years of risk adjustment coding experience with CPC and CRC credentials, focusing on accurate documentation review and payer submission. #J-18808-Ljbffr

Job Description Job Description Porter is hiring a Risk Adjustment Coder to join our Team!   Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.    Position Overview We are seeking a certified coder with expertise in risk adjustment coding and...

Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter's Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member's specific needs, and directs Porter's team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience. Position Overview We are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home health...

MRA CoderThe MRA Coder will be responsible for coordinating/supporting retrospective and concurrent chart reviews using knowledge of Hierarchical Condition Categories (HCC) coding to translate, input, extract and validate medical record data.Review patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries in order to verify whether the diagnosis codes are supported by the documentation to ensure they are within Guidelines for Coding and ReportingSchedule chart reviews with Physician practicesAssist in obtaining medical records from Physicians to support audits requested by Health PlansEnsure compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment.Educate Physicians regarding proper billing and documentation policies, procedures, and conflicting/ambiguous or non-specific...

MRA Coder The MRA Coder will be responsible for coordinating/supporting retrospective and concurrent chart reviews using knowledge of Hierarchical Condition Categories (HCC) coding to translate, input, extract and validate medical record data. Review patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries in order to verify whether the diagnosis codes are supported by the documentation to ensure they are within Guidelines for Coding and Reporting Schedule chart reviews with Physician practices Assist in obtaining medical records from Physicians to support audits requested by Health Plans Ensure compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment. Educate Physicians regarding proper billing and documentation policies, procedures, and conflicting/ambiguous...

Coding SpecialistLocation: Miramar, FloridaAt Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.SummaryReviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance.ResponsibilitiesCommunicates with insurance companies about coding errors and disputes (physician billing). Abstracts pertinent data points for billing and quality reviews. Communicates with various departments as needed to ensure accuracy of patient data.Conducts audits and/or coding reviews with various health care professionals to ensure all documentation is accurate (physician billing).May assign and sequence basic CPT (Current Procedural...

Coding SpecialistEnsures 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 SchoolExperience: 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)

Medical Coder I (Temporary)Fully RemoteDescriptionAt ClareMedica, exceptional is the standard. Driven by our purpose to enhance the lives of the seniors in the communities where we have the privilege to work, live, and play, the ClareMedica team is comprised of the brightest and best in their fields of expertise. From clinical excellence to unparalleled administrative support and beyond, we're working together to help seniors live happier, healthier, fuller lives. That kind of teamwork and passion for excelling can only exist in a workplace that fosters employees' growth and wellness and where their full potential and value are realized. At ClareMedica, we're excited about great people like you. We're even more excited to support you with the resources, training, benefits, competitive compensation, and more to help you thrive and succeed in our communities. Opportunity awaits – welcome to ClareMedica.ESSENTIAL FUNCTIONS:We are seeking an accurate, detailed oriented Coder to join...

Job Description Skills, Experience, Qualifications, If you have the right match for this opportunity, then make sure to apply today. Job Description Now Hiring: Medical Coders – Primary Care Clinic | Sunrise, FL A well-established Primary Care clinic in Sunrise is looking to hire a Medical Coder to join their team. Position Details: Schedule: Monday–Friday, 40 hours per week Pay: $23–$25/hour (based on experience) Setting: In-office, Primary Care clinic Language: Bilingual not required The ideal candidates will have experience with diagnostic coding, chart review, and ICD-10 coding within a primary care setting. Responsibilities include accurately assigning diagnosis codes, reviewing provider documentation for coding specificity and compliance, and assisting with HCC/risk adjustment coding as needed. Experience with eClinicalWorks is preferred. About Us: HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top facilities nationwide with...

Now Hiring: Medical Coders Primary Care Clinic | Sunrise, FL A well-established Primary Care clinic in Sunrise is looking to hire a Medical Coder to join their team. Position Details: Schedule: MondayFriday, 40 hours per week Pay: $23$25/hour (based on experience) Setting: In-office, Primary Care clinic Language: Bilingual not required The ideal candidates will have experience with diagnostic coding, chart review, and ICD-10 coding within a primary care setting. Responsibilities include accurately assigning diagnosis codes, reviewing provider documentation for coding specificity and compliance, and assisting with HCC/risk adjustment coding as needed. Experience with eClinicalWorks is preferred. About Us: HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top facilities nationwide with the focus of finding them highly qualified candidates. Our Promise: We will put you in front of the decision makers. We will provide...

Now Hiring: Medical Coders – Primary Care Clinic | Sunrise, FLA well-established Primary Care clinic in Sunrise is looking to hire a Medical Coder to join their team.Position Details:Schedule: Monday–Friday, 40 hours per weekPay: $23–$25/hour (based on experience)Setting: In-office, Primary Care clinicLanguage: Bilingual not requiredThe ideal candidates will have experience with diagnostic coding, chart review, and ICD-10 coding within a primary care setting. Responsibilities include accurately assigning diagnosis codes, reviewing provider documentation for coding specificity and compliance, and assisting with HCC/risk adjustment coding as needed.Experience with eClinicalWorks is preferred.About Us:HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top facilities nationwide with the focus of finding them highly qualified candidates.Our Promise:We will put you in front of the decision makers.We will provide feedback on your application.We...

Risk Adjustment CoderPorter is hiring a Risk Adjustment Coder to join our team! Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter's Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member's specific needs, and directs Porter's team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.Position OverviewWe are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home...

Risk Adjustment Coder Porter is hiring a Risk Adjustment Coder to join our team! Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter's Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member's specific needs, and directs Porter's team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience. Position Overview We are seeking a certified coder with expertise in risk adjustment coding and a specialization in...