- Hialeah, Florida, United States
- Full-time
- Hialeah, FL
- 5+ years
Certified Risk Adjustment Coder position at Mount Sinai Medical Center.
Responsibilities
- Demonstrates knowledge of coding and documentation standards as well as CMS risk adjustment guidelines and HCCs (hierarchical condition categories)
- Reviews medical record to ensure all diagnosis codes are documented for the assignment of a valid and accurate HCC for each episode of care
- Regularly reviews Epic HCC and payor CSI (Clinically Suspect Conditions) reports
- Queries and provides feedback and education to physicians when identifying documentation deficiencies to improve accuracy of risk adjustment coding
- Demonstrates understanding of risk adjustment payment models
Requirements
- High School graduate