Mayo Clinic has been ranked the #1 hospital in the nation by U.S. News & World Report, as well as #1 in more specialties than any other care provider. 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 – 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. You’ll thrive in an environment that supports innovation, is committed to ending racism and supporting diversity, equity and inclusion, and provides the resources you need to succeed.
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Responsibilities
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 providers 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.
This Position is 100% Remote can work from anywhere within the United States
Qualifications
Associate's Degree required; Bachelor's Degree preferred in a health care related area. Minimum of 3 years of physician/professional coding experience.
Additional Qualifications:
Knowledge of professional/physician coding rules for inpatient, hospital outpatient, clinic, and/or emergency settings. Experience with or education of risk adjustment payment methodology, Hierarchical Condition Categories (HCCs), disease acuity, common diagnostics, treatment, pharmacology and Outpatient coding guidelines for official coding and reporting. In-depth knowledge of medical terminology, disease processes, patient health record content and the medical record coding process. Knowledge of principles, methods, and techniques related to compliant healthcare billing/collections. May need to be familiar with provider based billing (PBB) and critical access hospital (CAH) coding and billing requirements.
This position requires Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) required upon hire and during tenure. Certified Risk Adjustment Coder (CRC) or Certified Clinical Documentation Specialist - Outpatient (CCDS-O) required within three years and thereafter.
Exemption Status
Nonexempt
Compensation Detail
Education, experience and tenure may be considered along with internal equity when job offers are extended.; $27.71 - $41.57/ hour
Benefits Eligible
Yes
Schedule
Full Time
Hours/Pay Period
80
Schedule Details
Day shift: This Position is 100% Remote can work from anywhere within the United States
Weekend Schedule
No weekends
International Assignment
No
Site Description
As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.
Recruiter
Lynnette Fleshman
Department Title
MCHS Administration
