Medicare Risk Auditor (MRA, CRC Coder) On-site position

Medicare Risk Auditor (MRA, CRC Coder) On-site position Medical Consultants of Florida - 3.3 Miami Lakes, FL Job Details Full-time From $19 an hour 1 hour ago Benefits Paid holidays Health insurance Dental insurance Paid time off Employee assistance program Vision insurance Life insurance Qualifications Bilingual Microsoft Excel Medicare Certified Professional Coder ICD-10 Clinical documentation improvement Productivity software Medical terminology Full Job Description At MedFlorida Medical Centers, we are a fast-growing organization dedicated to providing exceptional patient-centered primary care services. Our mission is to improve the health, happiness, and well-being of each patient through a strong commitment to excellence. MedFlorida offers competitive salaries, medical, dental and vision insurance, paid time off, and paid holidays. •This is an on-site position, no remote option available•The Medicare Risk Adjuster (MRA) supports Med Florida Medical Centers by reviewing patient medical histories prior to scheduled visits This role identifies applicable MRA/HCC-related diagnoses based on available clinical documentation, insurance records, and historical data to support accurate. A.

Essential Duties:

Review and audit patient medical histories prior to scheduled appointments and submit relevant documentation to the assigned provider. Evaluate patient records to ensure accurate identification of applicable MRA/HCC diagnoses. Analyze patient medical history to develop preventive care recommendations. Identify and recommend all applicable quality measures in accordance with regulatory guidelines. Provide clinical recommendations based on documented patient conditions and medical history. Complete post-visit reviews of audited records within ten (10) days of the date of service. Collaborate and communicate effectively with multiple departments, including Revenue Cycle Management. B. Additional Duties 1. Assists and covers other staff when necessary to maintain high productivity and efficiency in the department. 2. As the company continues to grow, additional responsibilities that are essential for the department to be successful will be assigned accordingly.

Education & Experience Requirements:

Foreign Medical Degree highly desirable. Medical field experience required. Strong knowledge of medical terminology required. ICD-10 and CPT coding knowledge required. Familiarity with CMS and government regulatory requirements preferred. Proficiency in Microsoft Office (Excel, Word, PowerPoint). Experience with eClinicalWorks EMR system is a plus. Bilingual candidates preferred. eClinicalWorks electronic medical records system knowledge a plus. Bilingual is preferred

Job Type:

Full-time Pay:

From $19.00 per hour

Benefits:

Dental insurance Employee assistance program Health insurance Life insurance Paid time off Vision insurance

Experience:

ICD-10: 3 years (Preferred)

License/Certification:

CRC Certification (Preferred) Certified Professional Coder (Preferred)

Work Location:

In person