Supervisor, PBO Risk Adjustment Coding-Finance-BHC-#21274 jobs in United States
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Broward Health ยท 2 months ago

Supervisor, PBO Risk Adjustment Coding-Finance-BHC-#21274

Broward Health is a healthcare organization that is seeking a Supervisor for their PBO Risk Adjustment Coding team. This role involves supervising remote coding specialists, ensuring compliance with coding guidelines, and educating providers on coding concepts.

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H1B Sponsor Likelynote

Responsibilities

Supervises remote risk adjustment coding specialists in the PBO, support satellite operations, ensures effective follow-up and optimal processing of applications to comply with established polices procedures and time standards
Monitors, creates, and analyses applicable reports with financial and compliance data
Review and audit documentation for appropriate capture of CAT II coding, Medicare Annual Wellness Visits, Medicare Advantage plans suspect HCC condition forms prior to submission to the payer
Educate providers on HCC coding concepts and ICD-10 coding guidelines to ensure appropriate level of coding specificity
Ensures procedures, E&M and diagnoses are coded as documented in the medical records according to ICD-10-CM, CPT-4, and HCPCS, in an effort to maintain accurate coding and obtain reimbursement, all within the professional coding guidelines, Centers for Medicare and Medicaid (CMS) guidelines and Broward Health policies

Qualification

Certified Professional CoderICD-10 codingCPT-4 codingHCPCS codingRisk adjustment codingFinancial analysisCompliance monitoringProvider education

Required

Three Years
Certified Professional Coder

Company

Broward Health

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Broward Health is a nationally recognized system in South Florida offering healthcare to all.

H1B Sponsorship

Broward Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (10)
2022 (2)
2021 (1)

Funding

Current Stage
Late Stage

Leadership Team

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Madison Workman
Chief Operating Officer - Broward Health North
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Chris Pernicano
Chairman, Board of Commissioners
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Company data provided by crunchbase