Job description

MRA Manager Documentation and Coding: South Florida Region

Overall Purpose: This role will assist with the MRA training curriculum and materials for the MRA coding mentor/educators, to ensure complete and accurate coding compliance education with proper medical record documentation. This position will guide MRA mentor/educators to ensure participating providers and their care teams accurately and completely report their services. Coding audit findings, industry updates and common medical documentation issues will be incorporated in training programming.

The MRA Documentation Compliance Manager will supervise a team of MRA Certified Coders and will develop tools to allow for greater meaningful information exchange between the MRA mentor/educator and the providers. This position will be responsible for effectively training the mentor/educators with appropriate skills for complete reporting of documentation guidelines, and medical diagnoses to build an accurate health profile for each individual patient.

The MRA manager will be responsible for the providers in Broward, Dade and West Palm. They will go onsite to provide MRA education. The MRA manager will review MRA data related to the physician group and engage with providers as needed.

Education and Experience:

• Successful completion of Coding Certificate program from an accredited organization (i.e. CPC, CRC, CPMA from AAPC, or CCS, CCS-P from AHIMA), with 3-5 years of professional coding experience
• Two years of Audit and/or Physician education experience
• Two years of public speaking, talent development and/or training experience
• Direct experience in understanding and implementing Medicare Risk Adjustment (HCC) coding compliance rules and regulations
• Experienced with effective physician/provider collaborative training to support workflow adjustments to improve clinical coding qualify

Knowledge, Skills and Abilities:

• Demonstrate high-level expertise in understanding Medicare Advantage insurance carrier rules and regulations, and the ability to manage ongoing change, and think creatively
• Thorough knowledge of government regulations relating to medical records documentation and reimbursement including Medicare, Medicaid and other industry billing standards
• Leadership skills including: setting the example, motivating the team to be high performers, customer service-oriented, taking the initiative to achieve the outcome
• Superior skills in Microsoft Office (primarily excel and power point)
• Must possess solid analytical, problem-solving, planning, communication, documentation, and organizational skills with meticulous attention to detail
• Ability to manage multiple tasks and projects, and forge strong interpersonal relationships within the department, with other departments, and with external audiences
• Ability to monitor project progress and communicate results to the MRA team, vendor partners and senior management as needed
• Ability to re-engineer processes to positively impact productivity in terms of timeliness and accuracy required
• Ability to analyze, interpret and communicate recommendations to MRA team, vendor partners and senior management
• Ability to communicate clearly and effectively both orally and in writing required

Essential Functions:

• Reports to the MRA Director
• Manage a team of certified coders. Build relationships with internal and external customers, providing superior customer service while managing expectations
• Assist in maintaining the MRA operational goals and metrics, in support of the department’s and organization’s strategy
• Collaborate with other organizational leaders to identify emerging needs and rally around solutions
• Develop and maintain working relationships with our Clinic Partners, including providers and their support staff
• Meet deadlines and turnaround times set by managers and department director
• Ability to work with multiple internal and external partners at various levels of the organization
• Strong aptitude for quickly troubleshooting and identifying the cause of questionable results within extracts and reports
• Assist with other duties as assigned to support the MRA department

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Retirement plan
• Vision insurance

Medical specialties:

• Primary Care

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• High school or equivalent (Preferred)

Experience:

• Healthcare Occupations: 1 year (Preferred)

Language:

• Spanish (Required)

License/Certification:

• Medical Coding Certification (Required)

Work Location: Multiple Locations

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Medical specialties:

• Primary Care

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Fort Lauderdale, FL 33308: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Management: 1 year (Required)
• Managed care: 1 year (Required)

Language:

• Spanish (Required)

License/Certification:

• Certified Professional Coder (Required)

Work Location: One location

off-roadmanagementgroup.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, off-roadmanagementgroup.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, off-roadmanagementgroup.com is the ideal place to find your next job.