Medical Coder Crc Certified For Risk Coding
Year Greater Noida, Uttar Pradesh, India
Job Description
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Duties: Reporting to the Director of MRA and Risk Coding. the HCC / MRA Coder will offer real-time support and coordination for Primary Care Providers and Care Coordinators for MRA Risk Coding, HEDIS, and STARS. Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Asaar Medical\'s overall success first. Review patient charts and pursues excellence: Seeks out learning, strives to develop and expand personally, and continuously helps others upgrade their capability to contribute to the managed care plan.
- Helps to educate clinician and non-clinician office staff on coding guidelines, documentation standards, and appropriate Medicare Risk Adjustment (MRA) procedures.
- Assists in education and transition with onboarding new providers, optimally within their first month.
- Reviews diagnoses and patient charts to identify trends and point out potentially missed chronic conditions to providers.
- Collaborates with Learning and Development when changes are necessary.
- Sets up and conducts 1:1 meeting with market providers
- Works with internal EMR to recommend accuracy in documentation and diagnoses.
- Works closely with clinical and HRDD (High Risk Disease Detection) leadership to make sure coding standards are met and there is maximization of appropriate and accurate coding, as well as prevention of inappropriate coding.
- Works with data teams to identify any potential gaps related to Risk Adjustment.
- Collaborates with technology team to improve electronic documentation of all clinical conditions during encounters.
- Stays abreast of CMS updated requirements and notifies IT so that dashboard can reflect the changes
- Teams with health plan MRA departments as needed to ensure appropriate acceptance of encounter data and accuracy of submissions.
- Collaborates with Operations Directors, Market Chief Medical Officers and Network Directors to identify areas of opportunity
- Health insurance
- Monday to Friday
- Weekend availability
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Job Detail
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Job IdJD3263873
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IndustryNot mentioned
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Total Positions1
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Job Type:Full Time
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Salary:Not mentioned
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Employment StatusPermanent
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Job LocationGreater Noida, Uttar Pradesh, India
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EducationNot mentioned
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ExperienceYear