Work as a High Risk Disease Detection Specialist

This listing has expired. View current opportunities here.

Medical professional reviewing chart

Plaza Medical Centers is a group of primary care physician offices providing services on an outpatient basis. PMC’s mission is to change the face of healthcare delivery by providing quality, proactive patient care with a focus on prevention.

The High Risk Disease Detection Specialist will be responsible for supporting the company’s risk adjustment program and ensuring risk exposures and opportunities are identified with the key objective of optimizing revenue integrity and accuracy.

This role provides opportunities for learning medical terminology and diagnostic criteria. It may be full time or part-time depending on availability.

Essential responsibilities include but are not limited to:

  • Reviewing of hospital records, diagnostic reports, specialist reports and PCP notes to identify medical conditions and supporting materials
  • Working with internal electronic medical records to recommended accuracy in documentation and diagnoses.
  • Working with data teams to identify any potential gaps related to risk adjustment.

Preferred knowledge, skills and abilities:

  • In depth understanding of medicare risk adjustment and coding guidelines.
  • Understanding of clinical disease definitions and guidelines for identification.
  • Advanced knowledge of risk adjustment compliance and requirements.

To learn more about this opportunity and apply, log into Handshake with your FIU credentials and type in the following keywords: high risk disease detection. Filter by Miami, FL location.

Deadline to apply is Nov. 30.