Broward Health
Supervisor, PBO Risk Adjustment Coding-Finance-BHC-#21274
Broward Health, Fort Lauderdale, Florida, us, 33336
Supervisor, PBO Risk Adjustment Coding
Broward Health Corporate ISC
Shift: Shift 1
FTE: 1.000000
Summary Supervises remote risk adjustment coding specialists in the PBO, supports satellite operations, ensures effective follow‑up and optimal processing of applications to comply with established policies, procedures, and time standards. Monitors, creates, and analyzes applicable reports with financial and compliance data.
Responsibilities
Review and audit documentation for appropriate capture of CAT II coding, Medicare Annual Wellness Visits, Medicare Advantage plans suspect HCC condition forms prior to submission to the payer.
Educate providers on HCC coding concepts and ICD‑10 coding guidelines to ensure appropriate level of coding specificity.
Ensure 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, CMS guidelines, and Broward Health policies.
Qualifications
Three years of experience.
Certified Professional Coder credential.
EEO Statement Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race, color, national origin, gender, gender identity, gender expression, pregnancy, sexual orientation, religion, age, disability, military status, genetic information or any other characteristic protected under applicable federal or state law.
At Broward Health, the dedication and contributions of veterans are valued. Supporting the military community and giving back to those who served is a priority. Broward Health offers veteran's preference in the hiring process to eligible veterans and other individuals as defined by applicable law.
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Shift: Shift 1
FTE: 1.000000
Summary Supervises remote risk adjustment coding specialists in the PBO, supports satellite operations, ensures effective follow‑up and optimal processing of applications to comply with established policies, procedures, and time standards. Monitors, creates, and analyzes applicable reports with financial and compliance data.
Responsibilities
Review and audit documentation for appropriate capture of CAT II coding, Medicare Annual Wellness Visits, Medicare Advantage plans suspect HCC condition forms prior to submission to the payer.
Educate providers on HCC coding concepts and ICD‑10 coding guidelines to ensure appropriate level of coding specificity.
Ensure 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, CMS guidelines, and Broward Health policies.
Qualifications
Three years of experience.
Certified Professional Coder credential.
EEO Statement Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race, color, national origin, gender, gender identity, gender expression, pregnancy, sexual orientation, religion, age, disability, military status, genetic information or any other characteristic protected under applicable federal or state law.
At Broward Health, the dedication and contributions of veterans are valued. Supporting the military community and giving back to those who served is a priority. Broward Health offers veteran's preference in the hiring process to eligible veterans and other individuals as defined by applicable law.
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