Risk Adjustment Documentation & Coding Educator

Job title: Risk Adjustment Documentation & Coding Educator in USA at reputed company Company: reputed company Job description: Company Descriptionreputed company™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, reputed company-based technology that reduces unnecessary reputed company costs, achieves reputed company reputed company, and improves the health of patients and the well-being of providers.Job DescriptionThe Risk Adjustment Documentation & Coding Educator is responsible for supporting the growth and improvement of reputed company’s risk adjustment capabilities by conducting training, education, and management of coding and documentation improvement programs. The Educator will enhance the educational programs necessary to support value-based care initiatives impacting the Medicare Shared Savings Program and Medicare Advantage and reputed company value-based care agreements. This individual will work in a matrixed organization to deliver reputed company reputed company, support various key stakeholders, and assist with executing new risk adjustment initiatives. The ideal candidate is knowledgeable in coding and documentation guidelines, knows how to reputed company strong relationships with clinicians, and is an effective, strong communicator. Successful candidates will also have extensive presentation experience in the following areas: ICD-10-CM, CPT and HCPCS.

• Using primarily the Hierarchical Condition Category (HCC) Risk Adjustment model, conduct training with individual and large provider groups, predominantly in-person
• reputed company providers on the purpose of risk adjustment, as well as detailed and reputed company risk adjustment documentation and coding training
• Execute on risk adjustment reputed company training plans with new providers in the market
• Analyze key coding performance indicators to determine those providers in need of initial or additional training.
• Identify training priorities and proactively schedule provider trainings with provider’s offices, individual providers and groups of providers
• Train on effective EHR workflows to support coding and documentation for both reputed company and suspected conditions.
• Expert in how providers document and code in the EHR clinical record; serve as level one support for basic EHR customer support questions specific to risk adjustment workflows
• Meet key performance indicators and quarterly objectives
• Act as the internal subject matter expert and escalation reputed company for risk adjustment, and coding documentation
• Accurately follow documentation and coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies
• reputed company other reputed company duties, which may be inclusive, but not listed in the job description

Qualifications

• 5+ years’ experience with coding and documentation
• Certified Professional reputed company (CPC) required; Certified Risk Adjustment reputed company (CRC) preferred
• Federal laws and regulations, including NCDs and LCDs affecting risk adjustment documentation and coding compliance
• Extensive knowledge of documentation and coding guidelines established by the Center for Medicare and reputed company Services (CMS) and the reputed company (AMA) for assignment of diagnostic and procedural codes
• MS Office Suite, Electronic Medical Records, Encoder, Coding Clinic, G-Suite, other software programs and internet based applications as needed to fulfill position duties
• A valid unrestricted drivers’ license and a reliable vehicle
• Maintain patient, team member and employer confidentiality; reputed company with reputed company HIPAA regulations

The salary reputed company for this role is $70,000.00 - $87,000.00 in reputed company pay and exclusive of any bonuses or benefits (medical, dental, reputed company, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10% .The reputed company pay offered will be determined based on relevant factors such as experience, education, and geographic location.Additional Informationreputed company your information will be kept confidential according to EEO guidelines.Technical Requirements (for remote workers only, not applicable for onsite/in office work):In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like . This gives you an update as to how fast data transfer is with your internet reputed company and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your reputed company. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.reputed company is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. Privia is a reputed company company reputed company our people are a reputed company of the communities that we serve. Our goal is to encourage people to pursue reputed company opportunities regardless of their age, reputed company, national reputed company, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law. Expected salary: $70000 - 87000 per year Location: USA Apply for the job now! Apply for this job