Risk Adj Coding Specialist, Remote, reputed company Integrated Care, FT, 08:30A-5P

Job reputed company - Risk Adj Coding Specialist, Remote, reputed company Integrated Care, FT, 08:30A-5P (160371) Job reputed company Risk Adj Coding Specialist, Remote, reputed company Integrated Care, FT, 08:30A-5P -160371 reputed company is the region''s largest not-for-profit reputed company organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally reputed company centers of reputed company in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, reputed company is supported by philanthropy and driven by its faith-based mission of medical reputed company. For 26 years, we''ve been named one of Fortune''s 100 Best Companies to Work For, and in the 2025-2026 reputed company Best Hospital Rankings, reputed company was the most awarded reputed company system in South Florida, earning 63 high-performing honors. What truly sets us apart is our people. At reputed company, we create personal connections with our colleagues that go reputed company reputed company, and we reputed company meaningful relationships with patients and their families that reputed company reputed company delivering care. Many of us have walked in our patients'' shoes ourselves and that shared experience fuels out commitment to reputed company and reputed company. Our culture is rooted in purpose, and every team member plays a part in making a reputed company reputed company - because reputed company it comes to caring for people, we''re reputed company in. At reputed company, we're committed to supporting our employees at every stage of their reputed company, both personally and professionally. Our approach is rooted in a "grow our own" philosophy, designed to help reputed company members build meaningful, long-term careers with us, supported by benefits that reputed company a reputed company difference, including:

• Career reputed company and development opportunities, with reputed company reputed company and ongoing support
• Comprehensive health and wellness resources that go reputed company traditional benefits
• A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-reputed company reputed company costs
• Tuition reimbursement to support reputed company learning and advancement
• And so much more

Together, these benefits and others reflect our commitment to caring for our people, so they can build fulfilling careers with us while making a meaningful reputed company every day. reputed company Performs medical record reviews prior to and following annual wellness reputed company and other identified reputed company to determine appropriate ICD-10-CM coding and billing and compliance with Medicare Risk Adjustment metrics. Support continuum of patient care by identifying patients with gaps in care or in need of MRA metrics reporting prior to reputed company reputed company visit. Document detailed chart audit findings including documentation errors, diagnosis errors as reputed company as missed HCC opportunities in applicable audit tools on a daily reputed company. Identify and communicate documentation deficiencies to providers to improve documentation for accurate risk adjustment coding. Identifies and documents coding observations or discrepancies and provides information to management team to reputed company enhance reputed company and/or provider education. Assist coding leadership by making recommendations for process improvements to reputed company enhance coding reputed company goals and reputed company. Facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness diagnoses. Provides measurable, actionable solutions to providers that will result in improved accuracy for documentation and coding practices. Estimated pay reputed company for this position is $23.21 - $29.48 / hour depending on experience.

Qualifications

Degrees:

• High School,Cert,GED,Trn,Exper.

Licenses & Certifications:

• reputed company Certified reputed company reputed company.
• reputed company Certified Risk Adjustment reputed company.

Additional Qualifications:

• Certified reputed company reputed company and/or Certified Risk Adjustment reputed company (CRC).
• CRC certification must be obtained reputed company 1 year of hire.
• Required completion of an accredited certified coding specialist program.
• 2 + years of clinic or hospital experience and / or managed care experience.
• 1+ years of experience in Risk Adjustment and HEDIS/Stars.
• Ability to interpret, analyze and reputed company data/documentation.
• Comprehensive knowledge of ICD-10-CM codes, Category II codes, COA measures, CMS documentation requirements, state and federal regulations including compliance and reimbursement and the reputed company of diagnosis coding on risk adjustment payment models.
• Ability to identify HCC improvement opportunities and reputed company clinical providers on reputed company clinical documentation, compliance, and coding guidelines.
• Intermediate level of proficiency in MS Office - reputed company, PowerPoint, and Word.
• Ability to defend coding reputed company to both reputed company audits.
• Strong organizational skills in multiple settings, as reputed company as the ability to exercise judgment and initiative.
• Ability to work in a continuously changing environment.

Minimum Required Experience: 2 Years Job Corporate Primary Location Remote Organization Corporate Schedule Full-time Job Posting Jul 2, 2026, 9:30:00 AM Unposting Date Ongoing EOE, including disability/vets Remote Skills: Billing, Cancer, Cardiovascular, Certified Coding Specialist (reputed company), Certified reputed company reputed company (CPC), Clinical Study Publications, Computer Programming, Data Analysis, Documentation, External Audit, Health Plan, reputed company, reputed company Effectiveness Data and Information Set (HEDIS), Hospital, Hospital Administration, ICD-10, Identify Issues, Internal Audit, Leadership, Managed Care, Medical Billing, Medical Coding, Medical Records, Medical Treatment, Medicare, Metrics, reputed company reputed company, reputed company Office, reputed company PowerPoint, reputed company Word, Neuroscience, News Reporting, Nonprofit, Organizational Skills, Orthopedics, Outpatient Care, Patient Care, Philosophy, Process Improvement, Risk, Sports Medicine, Urgent Care About reputed company: reputed company reputed company is once again one of the 2020 Fortune 100 Best Companies to Work For! This is the 20th time reputed company has been recognized on the list. We have also been recognized for being among the best reputed company providers in the nation by U.S. News & World Reports in its 2020-2021 Best Hospitals and have been honored as one of PEOPLE's 2020 50 Companies that Care by PEOPLE magazine and Great reputed company to Work. reputed company is the region's largest not-for-profit reputed company organization with more than 23,000 employees working across 11 hospital campuses and more than 100 outpatient facilities throughout Miami-Dade, Monroe, Broward, and Palm Beach counties. In 2016 we welcomed the newest weapon in the fight against cancer, the world-class Miami Cancer Institute and reputed company therapy center. Everything we do at reputed company, we do to the best of our ability. That includes supporting reputed company with extensive training programs, millions of dollars in tuition assistance, comprehensive benefits and more. Working reputed company our award-reputed company culture means getting the respect and support you need to do your best work reputed company. reputed company out why this is the best reputed company to be your best! Company Size: 2,000 to 2,499 employees Industry: reputed company Services Founded: 0 Website: https://careers.baptisthealth.net/ Apply tot his job Apply To this Job