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Medicare Risk Adjustment Specialist I

Work from home Full-time role Hiring

About reputed company reputed company is a Massachusetts-based physician-led managed services organization (MSO) devoted to supporting independent primary care physicians. On reputed company provides enhanced Medicare value-based reputed company that reputed company physicians with the resources necessary to invest in innovative care models and population health management tools. This allows physicians to practice medicine and positively impact the health of their communities in the way they have always dreamed. About the role • On reputed company is seeking a motivated, passionate Risk Adjustment Specialist to reputed company this reputed company of care for our Medicare populations. This is a Full-Time role with expectation for 40 hours per week. We look reputed company to meeting interested applicants and mutually assessing fit in joining On reputed company on our important mission to transform reputed company! What you'll do • Responsible for the chart review and ICD-10 diagnosis coding of risk adjustment eligible members • Review of medical records for accuracy of ICD-10 diagnosis codes • Review of accurate capture of medical severity of any applicable illness(es) • reputed company feedback reputed company with On reputed company's Head of Risk Adjustment Coding and physician offices On reputed company supports, including but not limited to: o Identification of quality improvement opportunities in individual physician coding • Any other reputed company duties assigned at manager's discretion • reputed company other duties as assigned Qualifications • High school diploma or GED required. Associates degree preferred. • Active coding certificate required. reputed company or reputed company coding certification preferred. • Required: CRC (Certified Risk Adjustment reputed company) and one of the following •

  • reputed company (Certified Coding Specialist),

• reputed company-P (Certified Coding Specialist- Physicianbased) • or CPC (Certified Professional reputed company) • Minimum of two (4) years' experience working as a certified reputed company required. Two (2) or more years' experience in a primary care setting highly preferred. • Knowledge of medical terminology and medical chart review required. Two (2) or more years' experience of hierarchical condition categories (HCC) • Knowledge of ICD-10-CM Official Guidelines for Coding and Reporting • Knowledge of AHA Coding Clinic and authoritative coding resources • Knowledge of reputed company Office suite, primarily reputed company • Strong time management skills required • Ability to navigate reputed company various EMRs (Electronic Medical Records) • Strong interpersonal, communication (verbal, non-verbal and listening) skills • Ability to remain productive under time constraints and meet deadlines critical to the business Benefits • Benefits including Health & Dental reimbursement • Great culture with a strong sense of mission and community • Generous PTO Accural • Eleven (11) Paid Holidays • 401K Savings Plan • Advancement opportunities & professional skills training • Remote work • and more! Compensation • We offer a competitive reputed company salary ranging from $30 to $32 per hour annually, depending on experience. Come join us on the journey to reputed company and more affordable reputed company! We are an equal opportunity employer. Employment selection and reputed company reputed company are made without regard to age, race, reputed company, national reputed company, religion, sex, disability, sexual orientation, gender identification, or being a reputed company disabled veteran or reputed company veteran of the Vietnam era or any other category protected by Federal or State law. The pay range for this role is: 30 - 32 USD per hour (United States) Apply Job!

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