Now Hiring - Markou Medical - Professional Services Risk Adjustment Coder/Medical Biller in Clearwater, FL

Full description of the position

Certified Risk Adjustment Coder/Certified Professional Coder/ Medical Biller Immediate opening for a dual role Risk Adjustment Coder/ Medical Biller. This is full-time position with the opportunity to go remote that offer competitive pay, medical, paid time off, paid holidays and retirement plan. We are looking for a candidate who considers themselves to be a self-starter. Must be able to be in office on a weekly basis and training will be in person so, local candidates are a must. This position is responsible for reviewing and interpreting the medical record via EMR to verify the accuracy of the diagnosis and procedural codes, captures HCC's and all quality indicators (Stars measures) and assures entire revenue cycle is completed for physician services in a primary care setting. This is a full revenue cycle position. Work hours 8am-4:30pm / Part time to Full-time Work Location - Clearwater, FL - with the possibility to be hybrid for the right candidate. Duties: * Records reviewal to maximize the quality of the MRA/HCC coding * Assure compliance with coding rules and regulations according to regulatory agencies such as Center for Medicare Services (CMS), Office of the Inspector General (OIG), AMA as well as company and applicable professional standards. * Performs accurate and timely charge entries into billing software * Performs payment posting * Performs A/R follow up * Performs patient and insurance billing * Stays up to date with coding changes * Serve as a coding resource for internal departments * Queries the provider when missing, ambiguous, or non-specific information is present in the health record * Attend meetings as necessary to provide information relating to coding and compliance * Informs management of trends identified through the review and validation process * Ensure clean claim submissions * Identify and troubleshoot billing, guarantor, insurance plan, and payer issues Requirements : * Active Certified Professional Coder (CPC), or Certified Risk Adjustment Coder (CRC) credential is required. * Previous experience with Risk Adjustment coding is required. * 3+ Years' experience with Medical Billing and CPT/ICD10 coding is required. * Maintains coding certification and acquires ceu's as required * High School Diploma is required. * Extensive knowledge in claim submission * Working knowledge of Managed Care, Medicare, and Private Payers required * Tech savviness and comfortable with technology * Detail oriented with an organized mind-set * Must be flexible, resourceful, and able to troubleshoot * Must be able to handle multiple tasks simultaneously and set priorities * A positive can-do attitude * Must have excellent customer service and interpersonal skills * Must be able to work as a member of a team in a team environment * Must maintain the highest level of confidentiality and comply with HIPAA laws * Experience with eClinicalWorks is a plus Job Types: Full-time, Part-time Pay: From $25.00 per hour Benefits: * 401(k) * 401(k) matching * Dental insurance * Health insurance * Paid time off Experience: * Medical billing and coding: 3 years (Required) License/Certification: * Certified Professional Coder, CRC (Required) Ability to Commute: * Clearwater, FL 33756 (Required) Work Location: Hybrid remote in Clearwater, FL 33756