Medicare Risk Coordinator

hace 2 semanas

Bogotá, Bogotá D.E., Colombia EMAPTA A tiempo completo

Healing Hands, Innovative Minds: Get to Know Our Healthcare Family

Our client, HG Doctors, is a healthcare management company founded in 1979 and headquartered in Hallandale Beach, Florida. With over 100 dedicated employees, HG Doctors serves medical practices across Florida, Georgia, and South Carolina. Our client's offices boast a prime location with easy access via major roads, providing convenience for all. With an unwavering commitment to exceptional services, their skilled doctors and staff deliver compassionate care. HG Doctors takes pride in their state-of-the-art equipment and modern sterilization system, going beyond industry standards for your safety and comfort.

Job Description

Join the team as a Medicare Risk Coordinator, where you'll be at the heart of our client's risk adjustment initiatives, collaborating closely with a dedicated team. You will work closely with the risk adjustment team to ensure accurate documentation of patient medical conditions, diagnoses, and treatments, ultimately contributing to the optimization of reimbursement and quality reporting processes.

Chart Your Course in Healthcare:

Employment type: Indefinite term contract
Shift: Monday to Friday | 8:00 AM TO 5:00 PM EST
Work Setup: Onsite, Bogotá/Medellin

Prescribe Precision:

  • Conduct comprehensive chart reviews for assigned patient populations to identify and document relevant medical conditions, procedures, and diagnoses.
  • Collaborate with healthcare providers to obtain missing or incomplete documentation necessary for accurate risk adjustment coding.
  • Assist in the analysis of clinical data to identify potential coding gaps and opportunities for improvement in documentation practices.
  • Work closely with coding and billing teams to ensure proper assignment of diagnosis codes and submission of claims.
  • Support the implementation of risk adjustment programs and initiatives aimed at improving coding accuracy and optimizing reimbursement.
  • Participate in educational sessions and training programs to enhance understanding of risk adjustment methodologies, coding guidelines, and regulatory requirements.
  • Assist in the preparation of reports and analyses to track performance metrics, identify trends, and measure the effectiveness of risk adjustment efforts.
  • Contribute to special projects and initiatives as assigned by senior members of the risk adjustment team.


RequirementsHealthy Qualifications Required:
  • Bachelor's degree in healthcare administration, health information management, nursing, or a related field.
  • 1-2 years of experience in healthcare, preferably in a clinical or administrative role.
  • Basic understanding of medical terminology, anatomy, and physiology.
  • Familiarity with ICD-10 coding system and CMS-HCC risk adjustment methodology preferred.
  • Strong analytical and problem-solving skills with attention to detail.
  • Excellent communication and interpersonal skills, with the ability to effectively collaborate with multidisciplinary teams.
  • Proficiency in Microsoft Office suite (Word, Excel, PowerPoint) and electronic health record (EHR) systems.
  • Ability to adapt to a fast-paced environment and prioritize tasks effectively.
  • Education: Medical degree.

Tech Stack:

  • Computer Savvy
  • Microsoft office experience (Word, Excel, Power point)
  • Teams


Benefits

Healthy Perks Await:

  • 5 Days work week
  • Work-Items (laptop, mouse, and headset)
  • 5 extra days of vacation leave (20 in total) that could be monetized
  • Direct exposure to our clients
  • Career growth opportunities
  • Diverse and supportive work environment
  • Prime Office Locations - Bogotá and Medellin
  • Up skilling: Emapta Academy

Who are we?

Welcome to Emapta Colombia

At Emapta, you're not just joining an industry-leading outsourcing provider; you're becoming part of a community that celebrates the rich cultural tapestry of Colombia. Our track record of success and diverse international clientele across various industries provide a solid foundation for your career. With over 700 global partners preferring to open remote jobs in the country, our vision is to help you and thousands more Colombians reach your full potential and dreams without the need to leave the country and work abroad.

Join forces with passionate professionals who share the desire to make a meaningful impact through premium global opportunities, all at your fingertips. Emapta isn't just a company; it's a community that values the balance between work and life. Start a truly exciting journey with us and discover how your talent can flourish in a setting that celebrates the spirit of Latin America.

#EmaptaExperience


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