136 mra coder jobs found

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 or...

Valora Medical Group is seeking a Risk Adjustment (MRA) Coder/Auditor to ensure accurate identification of chronic conditions and ICD-10 coding to support correct billing. The role includes training providers, producing regular office reports, and improving documentation quality. This is a hybrid position with onsite training support. Required: Bachelor’s in healthcare or related field, 2+ years coding plus 1+ year risk adjustment experience, and Certified Professional Coder; Certified Risk #J-18808-Ljbffr

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 or...

MRA CoderDepartment: Medicare Risk AdjustmentReports To: Medicare Risk Adjustment DirectorLocation: Miami-Dade & Broward CountyStatus: Full TimeDesignation: 75% local travelResponsibilities: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.Job Duties: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...

Location: Orlando, FL Job Id: 266 # of Openings: 1 Valora Medical Group is a visionary company focused on high-quality primary care services and consisting of healthcare providers and professionals dedicated to the health and well-being of our patients. At Valora, we treat our patients like family. With multiple locations throughout the Dallas-Fort Worth and Central Florida area, we understand that providing quality medical care and an exceptional patient experience across all our centers requires having an outstanding team. A Risk Adjustment (MRA) Coder ensures all significant chronic conditions found in the patient’s chart affecting the risk score are identified to allow the Clinical Provider to determine which conditions are current so they can be addressed during the patient visit. This role is also responsible for proper identification of respective ICD-10 codes to ensure the accuracy of billing for addressed diagnoses. In addition, the MRA Coder/Auditor provides...

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...

The MRA Coder role at DaMar Staffing focuses on coordinating retrospective and concurrent chart reviews using HCC coding to translate, input, extract and validate medical record data. You will review medical histories and reports to ensure diagnoses are supported by documentation, schedule chart reviews with physician practices, and help obtain records for audits. Fluency in English and Spanish, a CPC/CPMA/CRC/CCS-P/CCS credential, and expert Excel skills are required to support compliant risk #J-18808-Ljbffr

The MRA Coder role at DaMar Staffing focuses on coordinating retrospective and concurrent chart reviews using HCC coding to translate, input, extract and validate medical record data. You will review medical histories and reports to ensure diagnoses are supported by documentation, schedule chart reviews with physician practices, and help obtain records for audits. Fluency in English and Spanish, a CPC/CPMA/CRC/CCS-P/CCS credential, and expert Excel skills are required to support compliant risk #J-18808-Ljbffr

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Biller Miami, FL, US Summary The Medical Biller is responsible for ensuring all providers’ encounters are coded, billed and submitted in a timely manner to insurance companies, while also monitoring and resolving any rejections or denials through company billing portals. This position is essential to ensuring clean claim submission, reducing delays in reimbursement, and supporting compliance with payer and CMS guidelines. Essential Duties and Responsibilities Review, verify and submit provider encounters for accuracy in coding and documentation. Ensure timely and clean claim submission through appropriated billing software. Correct and resubmit rejected claims with proper supporting documentation or edits. Communicate with providers and clinical teams as needed to clarify documentation or encounter issues. Work closely...

Summary The Medical Biller is responsible for ensuring all providers' encounters are coded, billed and submitted in a timely manner to insurance companies, while also monitoring and resolving any rejections or denials through company billing portals.This position is essential to ensuring clean claim submission, reducing delays in reimbursement, and supporting compliance with payer and CMS guidelines. Essential Duties and Responsibilities Review, verify and submit provider encounters for accuracy in coding and documentation. Ensure timely and clean claim submission through appropriated billing software. Correct and resubmit rejected claims with proper supporting documentation or edits. Communicate with providers and clinical teams as needed to clarify documentation or encounter issues. Work closely with internal MRA coders to resolve discrepancies in diagnosis or procedures codes. Maintain billing logs and status update to ensure all encounters are accounted for and processed....

Description Welcome to Pathways Health Partners, the Accountable Care Organization (ACO) that's leading the charge in helping independent providers transition to Value-Based Care. What We Do: Medicare REACH ACO: We're at the forefront of Medicare innovation. Medicare Advantage MSO: Providing top-notch services to our Medicare Advantage patients. Commercial MSO: Managing care for approximately 16,000 patients across North-West/Central Florida. Where We Operate: From The Villages to St. Petersburg, and across to Mount Dora, we've got you covered! Our Services: Hospital Medicine Group: Delivering exceptional care in hospitals. Affiliated Medical Practices: Managing several top-tier medical practices. Insurance Agency: Offering comprehensive insurance solutions. Join us on our journey to better health and value-based care! Job Summary The HCC Risk Coder plays a vital role in coordinating and supporting retrospective and concurrent chart reviews while...

Medical Biller The Medical Biller is responsible for ensuring all providers' encounters are coded, billed and submitted in a timely manner to insurance companies, while also monitoring and resolving any rejections or denials through company billing portals. This position is essential to ensuring clean claim submission, reducing delays in reimbursement, and supporting compliance with payer and CMS guidelines. Essential Duties and Responsibilities Review, verify and submit provider encounters for accuracy in coding and documentation. Ensure timely and clean claim submission through appropriated billing software. Correct and resubmit rejected claims with proper supporting documentation or edits. Communicate with providers and clinical teams as needed to clarify documentation or encounter issues. Work closely with internal MRA coders to resolve discrepancies in diagnosis or procedures codes. Maintain billing logs and status update to ensure all encounters are...

Clinical Documentation Integrity Specialist (Coder) Remote within the U.S.; preference for those located in Eastern or Central time zones. As a CDI Coding Specialist, you ensure our documentation accurately reflects the complexity of the seniors we serve. Your work strengthens clinical accuracy, supports high‑quality care, and helps providers deliver the right care at the right time. This role is fast‑paced, detail‑driven, and deeply collaborative. You'll review charts, validate documentation, and partner with providers to uphold the highest standards of coding excellence. If you thrive in a mission‑driven environment that values teamwork, integrity, and accountability, you'll feel right at home here. Master the chart, start to finish: Apply expert coding judgment using ICD‑10 guidelines to validate accurate diagnosis codes in medical record documentation Support the clinical care teams through completion of comprehensive pre-visit and post-encounter chart reviews....

Clinical Documentation Integrity Specialist (Coder) Remote within the U.S.; preference for those located in Eastern or Central time zones. As a CDI Coding Specialist, you ensure our documentation accurately reflects the complexity of the seniors we serve. Your work strengthens clinical accuracy, supports high‑quality care, and helps providers deliver the right care at the right time. This role is fast‑paced, detail‑driven, and deeply collaborative. You'll review charts, validate documentation, and partner with providers to uphold the highest standards of coding excellence. If you thrive in a mission‑driven environment that values teamwork, integrity, and accountability, you'll feel right at home here. What You'll Do Apply expert coding judgment using ICD‑10 guidelines to validate accurate diagnosis codes in medical record documentation Support the clinical care teams through completion of comprehensive pre-visit and post-encounter chart reviews. Review documentation...

It's rewarding to be on a team of people that truly believe in making an impact!We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.Job SummaryThe ACO Coding Auditor is responsible for reviewing medical records and identifying, collecting, assessing, monitoring, and documenting claims and encountering information as it pertains to Medicare Risk Adjustment. You implement ongoing quality improvement activities to assure the Medicare Risk score meets all requirements and act as a consulting MRA advisor to the practices you support. You review practices for both CMS and Commercial ACO’s for quality compliance.Essential Duties & ResponsibilitiesPerforms on-site and remote clinical validation audits and interpretation of medical documentation to capture all Medicare Risk codes in coordination with the physician.Provides guidance and consultation to practice team members to drive improved MRA coding proficiency...

ACO Coding AuditorIt's rewarding to be on a team of people that truly believe in making an impact! We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.The ACO Coding Auditor is responsible for reviewing medical records and identifying, collecting, assessing, monitoring, and documenting claims and encountering information as it pertains to Medicare Risk Adjustment. You implement ongoing quality improvement activities to assure the Medicare Risk score meets all requirements and act as a consulting MRA advisor to the practices you support. You review practices for both CMS and Commercial ACO's for quality compliance.Essential Duties & ResponsibilitiesPerforms on-site and remote clinical validation audits and interpretation of medical documentation to capture all Medicare Risk codes in coordination with the physician.Provides guidance and consultation to practice team members to drive improved MRA coding...

Summary The Medical Records Technician (Coder) Auditor position is located at the Erie East VA Clinic. MRTs (Coders) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. Learn more about this agency Duties Help Major duties and responsibilities of the position include but are not limited to: Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Reviews assigned codes from the current version of several coding systems to include...

Job Title Medical Coding Specialist Duties Major duties and responsibilities of the position include but are not limited to: Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding. Applies guidelines specific to certain diagnoses, procedures, and other criteria used...

Medical Records Technician (Coder) Auditor The Medical Records Technician (Coder) Auditor position is located at the Erie East VA Clinic. MRTs (Coders) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure.

Fidelity Partners seeks an experienced Inpatient/Outpatient MRT Coder Lead for the VA Northeast Ohio Healthcare System in Cleveland. You will lead medical coding for inpatient and outpatient services, provide technical guidance to the coding team, and coordinate workflows to ensure accuracy and timely reporting. The role requires AHIMA or AAPC credential and at least two years of coding experience in a complex healthcare setting, with proficiency in ICD-10-CM/PCS, CPT/HCPCS, and Oracle Health #J-18808-Ljbffr

About the job Remote Ambulatory Surgery MRT Coder Ambulatory Surgery MRT Coder VA Northeast Ohio Healthcare System - Cleveland, Ohio This Position Is Contingent Upon Bid Award Work Location Department of Veterans Affairs VA Northeast Ohio Healthcare System / Cleveland VA Medical Center Wade Park Campus 10701 East Boulevard Cleveland, OH 44106 Citizenship / Access Requirements: U.S. citizenship is required. Personnel must satisfy all VA suitability, background-investigation, PIV, privacy, information-security, and system-access requirements. Security Requirements: No classified clearance is specified. Favorable VA screening, National Agency Check initiation, PIV eligibility, and applicable ADP-sensitive access requirements apply. Type of Employment: Full-Time Contractor Position with W-2 employment through Fidelity Partners. Estimated Compensation: $35.21 per hour. Paid Sick Leave: Up to 56 hours per year, accrued in accordance with...

Job Description Job Description Supervisory Inpatient/Outpatient MRT Coder VA Northeast Ohio Healthcare System – Cleveland, Ohio This Position Is Contingent Upon Bid Award Work Location Department of Veterans Affairs VA Northeast Ohio Healthcare System / Cleveland VA Medical Center Wade Park Campus 10701 East Boulevard Cleveland, OH 44106 Citizenship / Access Requirements: U.S. citizenship is required. Personnel must satisfy all VA suitability, background-investigation, PIV, privacy, information-security, and system-access requirements. Security Requirements: No classified clearance is specified. Favorable VA screening, National Agency Check initiation, PIV eligibility, and applicable ADP-sensitive access requirements apply. Type of Employment: Full-Time Contractor Position  Estimated Compensation: $39.22 per hour. Paid Sick Leave: Up to 56 hours per year, accrued in accordance with Fidelity Partners policy and applicable requirements....

Job Title Medical Coding Specialist Duties Major duties and responsibilities of the position include but are not limited to: Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding. Applies guidelines specific to certain diagnoses, procedures, and other...