Methodist Health System · 6 days ago
MMG coder III
Dallas, TX
Full-time
Onsite
Mid Level
3+ years expMethodist Health System is a North Texas physician organization, and they are seeking a Risk Adjustment Coder to collaborate with physicians and support departments. The main responsibility of this role is to review medical records and clinical documentation to identify appropriate risk adjustment codes and improve quality of care.
BiotechnologyFitnessHealth CareMedical
Responsibilities
Ensures compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment
Reviews for clinical indicators and query providers to capture the severity of illness of the patient
Reviews of medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries to verify whether the diagnosis codes are supported by the documentation and ensure with ICD-10-CM guidelines for coding and reporting and the diagnosis codes for each chronic or major medical condition have been captured correctly
Provides feedback to internal clients on examples of documentation and physician self-coding that do not meet quality standards, examples of missed operations missed opportunities and Identifies clinical coding and documentation trends and training needs to improve the quality of documentation to reflect our patients’ health data
Demonstrated ability to utilize a variety of electronic medical records systems
Ability to manage significant work load, and to work efficiently under pressure meeting established deadlines with minimal supervision
Other duties as assigned and modified at manager’s discretion
Qualification
Required
High School Diploma or GED required
Two (2) + years' experience in a primary care environment is required
Coding Certificate required
CRC (certified risk coder) is required, or minimum of 3-5 years' experience in risk adjusting coding in lieu of certificate
Strong knowledge of Microsoft Office Suite (Excel-basic mathematical formulas, charts, tables)
Strong medical coding and third party operating procedures and practices
Knowledge of CPT/ICD-9 & 10 & Medical Terminology
Ensures compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment
Reviews for clinical indicators and query providers to capture the severity of illness of the patient
Reviews of medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries to verify whether the diagnosis codes are supported by the documentation and ensure with ICD-10-CM guidelines for coding and reporting and the diagnosis codes for each chronic or major medical condition have been captured correctly
Provides feedback to internal clients on examples of documentation and physician self-coding that do not meet quality standards, examples of missed operations missed opportunities and Identifies clinical coding and documentation trends and training needs to improve the quality of documentation to reflect our patients' health data
Demonstrated ability to utilize a variety of electronic medical records systems
Ability to manage significant work load, and to work efficiently under pressure meeting established deadlines with minimal supervision
Preferred
AAPC or AHIMA coding certified preferred
Benefits
Medical, dental, and vision insurance
Matched retirement plan
Employee wellness program
Company
Methodist Health System
Methodist Health System is a faith-based organization that aims to improve and save lives through compassionate and quality healthcare.
10001+ employees
H1B Sponsorship
Methodist Health System 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 (9)
2024 (6)
2023 (8)
2022 (10)
2021 (2)
2020 (7)
Funding
Current Stage
Late StageLeadership Team
Drew Shea
Chief Financial Officer - Methodist Medical Group
Edward Sopiarz
Chief Financial Officer
Recent News
Business Journals
2022-01-27
2022-01-15
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