Coding & Documentation Educator

About the role

This position requires occasional travel to the Rocky Mountain and Mid-America regions, while primarily providing remote support to these areas from Florida.

Responsibilities

• Analyzes medical record documentation for HCC accuracy, correct documentation, and educational opportunities.
• Provides education to physicians, advanced practice providers, and other key healthcare providers regarding the need for accurate, specific, and complete clinical documentation in the patient's medical record.
• Serves as a subject matter expert in clinical documentation and coding best practices for both internal and external partners.
• Participates actively in prospective program development, execution, and performance.
• Assists the Clinical Documentation Integrity team by making recommendations for process improvements to further enhance program coding goals and outcomes.
• Evaluates medical records to ensure Monitor, Evaluate, Assess, and Treat (M.E.A.T) criteria support the existence of submitted diagnosis codes.
• Collaborates with each operational team and their leadership in a matrix relationship.
• Provides direction and guidance to Risk Adjustment Coding Specialists and cross-functional team members within their respective clinics pertaining to Risk Adjustment.
• Maintains current knowledge of ICD-10-CM codes, CMS HCC Model and updates, CMS documentation requirements, and the Official Guidelines for Coding and Reporting, as well as state and federal regulations.
• Manages routine tasks and contributes to special project assignments to ensure ongoing compliance with federal and state privacy and data protection laws and regulations.
• Utilizes strong analytical and problem-solving skills to assess, analyze, interpret, and report data, metrics, and trends.
• Performs other duties as assigned.

Requirements

• Ability to develop, evaluate and improve workflows including ability to create process documentation.
• Knowledge of MS Office (Word, Outlook, Excel, and PowerPoint).
• Knowledge of healthcare operations.
• Knowledge and understanding of medical terminology and medical reporting.
• Strong background in ICD-10-CM coding.
• Communicate professionally in reporting results.
• Able to interact effectively with physicians and other health care professionals.
• Able to be independent in daily work.
• Able to identify, analyze and effectively solve problems.
• Able to prepare reports and presentations, and building/maintaining statistical spreadsheets.
• Able to function in a high-paced environment.
• Utilize and demonstrate excellent critical thinking, problem-solving and deductive reasoning skills.
• Excellent organizational skills.

Skills

• Knowledge of healthcare operations.
• Knowledge and understanding of medical terminology and medical reporting.
• Strong background in ICD-10-CM coding.
• Communicate professionally in reporting results.
• Able to interact effectively with physicians and other health care professionals.
• Able to be independent in daily work.
• Able to identify, analyze and effectively solve problems.
• Utilize and demonstrate excellent critical thinking, problem-solving and deductive reasoning skills.

Qualifications

• Technical/Vocational School [Required]
• Bachelor's [Preferred]
• Field Of Study Technical/Vocational School in Coding
• Bachelor's in a related field
• 5+ years of coding experience, or experience with clinical documentation reviews and provider education [Required]

Benefits

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Pay

$49,718.59 - $92,468.74

Schedule

Full time

Shift Day (United States of America)

Address

2600 LUCIEN WAY

MAITLAND

Florida

Postal Code 32751