OTHER

FEED

UNKNOWN

Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines. Overview: Provides thorough concurrent, prospective, and retrospective review of ambulatory medical record clinical documentation to ensure accurate and complete capture of the clinical picture, severity of illness, and complexity of the patient.

HOUR

Why Beebe?:
Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. BenefitsIn addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers:<ul><li>Sign-on and Referral Bonuses for select positions</li><li>Tuition Assistance up to $5,000</li><li>Paid Time Off</li><li>Long Term Sick accrual</li><li>Employer Contribution Plan</li><li>Free Short and Long-Term Disability for Full Time employees</li><li>Zero copay for drugs on prescription plan for certain conditions</li><li>College Bound 529 Savings Plan</li><li>Life Insurance</li><li>Beebe Perks via Work Advantage</li><li>Employee Assistance Program</li><li>Pet Insurance</li></ul>

Overview:
Provides thorough concurrent, prospective, and retrospective review of ambulatory medical record clinical documentation to ensure accurate and complete capture of the clinical picture, severity of illness, and complexity of the patient. Utilizes knowledge of official coding guidelines (ICD-10, CPT, HCPCs), Hierarchical Condition Categories (HCC), M.E.A.T (Monitored, Evaluated/Assessed/Addressed, Treated) standards, Risk Adjustment Factor (RAF) scoring, and AHIMA/ACDIS physician query brief. Provides education to providers on the importance of diagnosis specificity. May participate in developing, presenting, and disseminating provider communication and other activities related to clinical documentation.

Responsibilities:
<ul><li>Review provider documentation of diagnostic data from medical record to verify that all Medicare Advantage, MSSP and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum</li><li>Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC)</li><li>Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines</li><li>Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation</li><li>Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing</li><li>Provides ongoing feedback to physicians and other providers regarding coding guidelines and requirements, including education and support for improvement in HCC coding and RAF scoring. Assists with educational in-services for physicians, other providers, and clinic staff relating to clinical documentation compliance related to billing.</li></ul>

Qualifications:
Required Certification/Licensure: Certified Risk Adjustment Coder (CRC) & Certified Coding Specialist (CCS-P), CCS, CPCMinimum of two years' experience in medical codingReliable transportation/Valid Driver's License/Must be able to travel at least 50% of work time

Credentials:
 

Education:
 

Entry:
USD $23.67/Hr.

Max:
USD $36.69/Hr.

Beebe Healthcare

RISK ADJUSTMENT CODING SPECIALIST - VBC OPERATIONS AND TRANSFORMATION

Certified Coding Specialist (CCS)

Claims Processing

Clinical Study Publications

Co-Payments

Compensation and Benefits

Content Management Systems (CMS)

Current Procedural Terminology (CPT)

Documentation

Driver's License

Employee Assistance Plan

Healthcare

Healthcare Common Procedure Coding System (HCPCS)

Healthcare Quality

ICD-10

Insurance

Life Insurance

Maintain Compliance

Medical Coding

Medical Diagnosis

Medical Records

Medicare

Prescription Drugs

Risk

Royal Air Force

Sales Prospecting

Support Documentation

Training/Teaching

Tuition Fees

Willing to Travel

[AW]-iCims

Our multidisciplinary teams are committed to delivering personalized treatment plans, advancing clinical research, and supporting patients throughout their cancer journey. Maryland Oncology Hematology (MOH) is the largest independent oncology practice in the state, offering comprehensive, compassionate, and cutting-edge cancer care.

YEAR

Overview:
<img alt="Maryland Logo" src="https://theusoncologynetwork.icims.com/icims2/servlet/icims2?module=AppInert&action=download&id=90&hashed=1629868809" style="margin-left:auto;margin-right:auto"/>Join Our Team at Maryland Oncology Hematology!We’re looking for passionate and talented professionals to join our team in providing exceptional cancer care. If you’re dedicated to making a difference for patients, physicians, and colleagues, we want to hear from you! With 15+ locations across Maryland and DC, we offer a dynamic and supportive environment where you can grow and thrive.Explore opportunities with us and apply today! The general pay scale for this position at MOH is $101,799.68  -  $156,614.89 per year. The actual hiring rate is dependent on many factors, including but not limited to prior work experience, education, job/position responsibilities, location, work performance, etc.<h2>About Maryland Oncology Hematology</h2>Maryland Oncology Hematology (MOH) is the largest independent oncology practice in the state, offering comprehensive, compassionate, and cutting-edge cancer care. Our multidisciplinary teams are committed to delivering personalized treatment plans, advancing clinical research, and supporting patients throughout their cancer journey. We are proud to be a leader in innovation, collaboration, and patient-centered care. Under supervision or in collaboration with practice physicians, involved in the care of individuals, families and patient groups who are dealing with cancer or other related diagnosis. This care may be in clinic or virtually, via telemedicine. Responsibilities may include duties related to prevention, screening, patient care, management, and research. May serve as direct caregiver, health care consultant, patient educator, administrator, or researcher. Ensures compliance with OSHA and other regulatory standards and requirements. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.

Responsibilities:
ESSENTIAL DUTIES AND RESPONSIBILITIES:  - Assesses, plans, implements, and evaluates care for patients. - Initiates and documents appropriate interventions; evaluates and records patient/family response and prescribes therapies as indicated.  - Performs procedures after appropriate training.  - Assesses patient/family needs and provides education.  - Promotes wellness and recommends community resources to meet patient and family needs.  - Incorporates the developing knowledge of evidence-based research into clinical practice.  - Developing knowledge of reimbursement procedures and documentation requirements.  - Completes patient charge capture and medical record documentation in a timely fashion.  - May provide case management for patients and their families, given limited knowledge of community resources.  - May promote/provide staff education - Responsibilities may include rounding at affiliated hospitals and weekend or after-hour calls. - Other duties as assigned 

Qualifications:
MINIMUM QUALIFICATIONS:  Nurse Practitioner Masters of Science in Nursing (MSN) from an accredited nursing school and successful completion of a Nurse Practitioner program.  This position is entry-level and typically requires a minimum of 0-3 years post MSN experience, preferably in the chosen specialty.  RN state licensure and current registration with the State Board of Nursing in practicing state. Current state licensure as a Nurse Practitioner. Current basic life support (BLS)/CPR certification required. OR Physician Assistant Successful completion of an accredited Physician Assistant program.  Current NCCPA (National Commission on Certification of Physician Assistants) certification. This position is entry-level and typically requires 0-3 years of experience as a practicing Physician Assistant, preferably in the chosen specialty.  Current state license as a Physician Assistant in practicing state.  Current basic life support (BLS)/CPR certification required. OR Clinical Nurse Specialist Masters of Science in Nursing (MSN) from an accredited nursing school and successful completion of a Clinical Nurse Specialist program. This position is entry-level and typically requires a minimum of 0-3 years of post-MSN experience, preferably in the chosen specialty. RN state licensure and current registration with the State Board of Nursing in practicing state.  Current state licensure as a Clinical Nurse Specialist. Current basic life support (BLS)/CPR certification required.     PHYSICAL DEMANDS:  The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.  Requires standing and walking for extensive periods of time.  Occasionally lifts and carries items weighing up to 40 lbs.  Requires corrected vision and hearing to normal range.     WORK ENVIRONMENT:  The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  Exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment.

Maryland Oncology

Hospital-Based Advanced Practice Provider (APP)

Cancer

Case Management

Certified Clinical Nurse Specialist (CCNS)

Charge Capture

Clinical Nursing

Clinical Research

Consulting

Cross-Functional

Educational Administration

Hearing Impairment

Hematology

Hospital

Infectious Diseases

Lift/Move 40 Pounds

Medical Billing

Nurse Practitioner

Nursing

Nursing Credentials

OSHA

Oncology

Patient Assessment

Patient Care

Patient Education

Physical Demands

Physician Assistant

Quality of Care

Registered Nurse (RN)

Regulations

Research Skills

Telemedicine

Time Management

Treatment Plan

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RISK ADJUSTMENT CODING SPECIALIST - VBC OPERATIONS AND TRANSFORMATIONBeebe Healthcare

Hospital-Based Advanced Practice Provider (APP)Maryland Oncology

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