Risk Adjustment PB Coder-Remote
About The Position
The Risk Adjustment PB Coder reviews, analyzes, validates and assigns codes from Mayo Clinic’s patient medical record for physician services in the outpatient or inpatient setting to include, but not limited to medical diagnosis, diagnostic, procedural services and E/M visits level coding information for various practices. A Risk Adjustment Coder is responsible for reviewing physician and other provider’s medical record notes and visit documentation to select or validate appropriate ICD-10-CM diagnosis codes as well as appropriate CPT-4 codes for CMS-1500 claim submissions. The primary focus of this role is diagnosis assignment related to risk adjustment payment methodology, which may influence provider cost and quality indicators. Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans [https://jobs.mayoclinic.org/benefits/] – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. [https://jobs.mayoclinic.org/alllocations]
Responsibilities
- reviews, analyzes, validates and assigns codes from Mayo Clinic’s patient medical record for physician services in the outpatient or inpatient setting to include, but not limited to medical diagnosis, diagnostic, procedural services and E/M visits level coding information for various practices
- reviewing physician and other provider’s medical record notes and visit documentation to select or validate appropriate ICD-10-CM diagnosis codes as well as appropriate CPT-4 codes for CMS-1500 claim submissions
- diagnosis assignment related to risk adjustment payment methodology, which may influence provider cost and quality indicators
Benefits
- Medical: Multiple plan options.
- Dental: Delta Dental or reimbursement account for flexible coverage.
- Vision: Affordable plan with national network.
- Pre-Tax Savings: HSA and FSAs for eligible expenses.
- Retirement: Competitive retirement package to secure your future.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
