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Jobs at Genuine Health Group (Now Hiring) — 3 open

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MRA Coder

Coral Gables, Florida, United States · On-site

Mid level

Job Title: MRA Coder Department: Medicare Risk Adjustment Reports To: Medicare Risk Adjustment Director Location: Miami-Dade & Broward County Status: Full Time Designation: 75% local travel Responsibilities: The MRA Code…

Skills: HCC Coding, ICD-10, CPT Codes, Medical Record Validation, Chart Review

Genuine Health Group logoGenuine Health Group

Patient Care Navigator (Hybrid)

Coral Gables, Florida, United States · Hybrid

$18/hr

Entry level

Summary The Patient Care Navigator is an administrative position that works with the clinical team. The Patient Care Navigator facilitates delivery of information to individual members of the clinical team to help coordi…

Skills: Care Coordination, Electronic Medical Records, Patient Advocacy, Interpersonal Communication, Microsoft Excel

Genuine Health Group logoGenuine Health Group

RN Health Coach (West Broward)

Coral Gables, Florida, United States · Hybrid

$75k/yr

Mid level

Summary RN Health Coach is a purposeful, result oriented structured client interaction that is provided by an RN for the purpose of promoting achievement of client goals. RN Health Coach promote and facilitate growth, he…

Skills: Case Management, Disease Management, Clinical Assessment, Care Coordination, Patient Education

Genuine Health Group logo

MRA Coder

Genuine Health Group

Coral Gables, Florida, United States • On-site

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Mid level

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  • Full-time
  • professional certificate
  • Posted 19d ago
  • ~40 hrs/week

Responsibilities

The MRA Coder coordinates retrospective and concurrent chart reviews using HCC coding to validate medical record data. They are also responsible for educating physicians on documentation policies and ensuring compliance with federal and state risk adjustment regulations.

Requirements

Candidates must hold a professional certification such as CPC, CPMA, or CRC and have at least 3 years of Medicare Risk Adjustment coding experience. Proficiency in Microsoft Excel, ICD-10/CPT codes, and bilingual fluency in English and Spanish are required.

Full job description

Job Title:  MRA Coder

Department: Medicare Risk Adjustment

Reports To: Medicare Risk Adjustment Director

Location: Miami-Dade & Broward County

Status: Full Time

Designation: 75% local travel 

Responsibilities:

The MRA Coder will be responsible for coordinating/supporting retrospective and concurrent chart reviews using knowledge of Hierarchical Condition Categories (HCC) coding to translate, input, extract and validate medical record data. 

Job Duties:

  • Review patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries in order to verify whether the diagnosis codes are supported by the documentation to ensure they are within Guidelines for Coding and Reporting 
  • Schedule chart reviews with Physician practices 
  • Assist in obtaining medical records from Physicians to support audits requested by Health Plans
  • Ensure compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment. 
  • Educate Physicians regarding proper billing and documentation policies, procedures, and conflicting/ambiguous or non-specific documentation 
  • Demonstrate the ability to quickly identify low risk scores; incorrect coding and compliance trends; to analyze and investigate suspected problems with resolve; and to forward problems to the attention of the Medicare Risk Adjustment Director
  • Performs other duties as required.

Requirements:

  • CPC /CPMA/ CRC/ CCS-P/ CCS/ RHIA or RHIT certification
  • Minimum 3 years of Medicare Risk Adjustment coding
  • Advanced Microsoft Excel 
  • Familiar with HCC Dashboard tool
  • Strong knowledge of ICD-10 and CPT codes
  • Fluent in English and Spanish
  • Clean driving record and reliable form of transportation

Related keywords

MRA CoderMedicare Risk AdjustmentHCCHierarchical Condition CategoriesICD-10CPTCPCCPMACRCCCS-PCCSRHIARHITChart ReviewMedical CodingCompliance

About Genuine Health Group

LinkedInVisit site

Producing the best medical outcomes at the most reasonable cost

Industry
Hospitals and Health Care
Company size
51-200 employees
Headquarters
Coral Gables, Florida
LinkedIn followers
2,390

Healthcare industry veterans Joe Caruncho – whose success at the helm of Preferred Care Partners led to annual sales in excess of $750 million – and Orlando Lopez-Fernandez, Jr., MD, founded Genuine Health Group to usher in a new era of healthcare delivery focused on value instead of volume. Today, Genuine Health is building a model for managing care delivery that embodies traditional values, promises reliability, and embraces flexibility and technology. Through its accountable care organization, PremierMD ACO, the company aims to improve healthcare outcomes, achieve cost savings for the care of patients who receive traditional, fee-for-service Medicare benefits, and serve as a single point of contact to move doctors’ Medicare members into value-based care. And, through its management service organization (MSO), the company aims to deliver financial upside for its participating physicians whose patients are enrolled in Medicare Advantage plans. For both traditional Medicare beneficiaries and those who choose managed care plans, Genuine Health and its providers are demonstrating the powerful effects of value-based care.

Offices: 806 S Douglas Rd, Suite 700, Coral Gables, Florida 33134, US

HospitalHealth CareMedical
View all jobs at Genuine Health Group

About Genuine Health Group

LinkedInVisit site

Producing the best medical outcomes at the most reasonable cost

Industry
Hospitals and Health Care
Company size
51-200 employees
Headquarters
Coral Gables, Florida
LinkedIn followers
2,390

Healthcare industry veterans Joe Caruncho – whose success at the helm of Preferred Care Partners led to annual sales in excess of $750 million – and Orlando Lopez-Fernandez, Jr., MD, founded Genuine Health Group to usher in a new era of healthcare delivery focused on value instead of volume. Today, Genuine Health is building a model for managing care delivery that embodies traditional values, promises reliability, and embraces flexibility and technology. Through its accountable care organization, PremierMD ACO, the company aims to improve healthcare outcomes, achieve cost savings for the care of patients who receive traditional, fee-for-service Medicare benefits, and serve as a single point of contact to move doctors’ Medicare members into value-based care. And, through its management service organization (MSO), the company aims to deliver financial upside for its participating physicians whose patients are enrolled in Medicare Advantage plans. For both traditional Medicare beneficiaries and those who choose managed care plans, Genuine Health and its providers are demonstrating the powerful effects of value-based care.

Offices: 806 S Douglas Rd, Suite 700, Coral Gables, Florida 33134, US

HospitalHealth CareMedical
View all jobs at Genuine Health Group

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