Risk Adjustment Provider Educator

About the role

Millennium Healthcare, the largest independent physician group in Florida with offices in Florida, North Carolina, and Texas, is seeking a Risk Adjustment Provider Educator. This role provides Risk Adjustment education to providers and support staff through direct interactive learning sessions, written guides, protocols, and audits. The position includes analytical interpretation of Risk Adjustment data to determine areas of focus and improvement opportunities, as well as facilitation of detailed analysis, reporting, training, and education to Providers and staff.

Responsibilities

• Transforms raw data into actionable intelligence to prioritize provider education and risk adjustment initiatives
• Possesses a proven ability to analyze, report, and provide data insights
• Identifies documentation and coding improvement opportunities and gives guidance around best practice strategies in risk adjustment performance
• Analyzes provider coding patterns and performs follow-up audits post-education to track documentation and coding improvement
• Demonstrates knowledge and an ability to apply coding policies and guidelines to the provider documentation review process
• Possesses excellent attention to detail
• Stays current on applicable documentation guideline changes and rules
• Works effectively and efficiently within a team environment
• Adaptable to shifting priorities and demonstrates a willingness to do what it takes to meet team needs
• Understands and complies with policies and procedures for confidentiality of all patient records, HIPAA, and security of systems
• Promotes Millennium Physician Group's values
• Build relationships with the clinical and clerical teams to ensure open communication for questions concerning the Risk Adjustment program and its components
• Demonstrate excellent guest service to internal team members and patients
• Perform other related duties as assigned

Qualifications

• Bachelor's Degree or equivalent work experience
• 2+ years of experience in training program design and development
• 2+ years of experience in risk adjustment and ICD-10 coding in the Medicare Risk Adjustment environment
• Certified Risk Adjustment Coder (CRC) or similar
• Possess strong critical thinking and analytical skills and an extensive, in-depth knowledge of the HCC Risk Adjustment models
• Proven ability to analyze data, present results effectively through provider education, and monitor the effectiveness of the education provided
• Strong communication skills
• Intermediate Excel skills (Pivot tables, VLOOKUP, Advanced formulas, etc.) and data visualization skills
• Intermediate Microsoft PowerPoint skills with the ability to transform analytical output into simple-to-understand visuals
• In-depth knowledge of ICD-10-CM diagnostic coding
• Must have excellent time management skills, be highly organized, self-motivated
• Excellent customer service, problem-solving skills, and attention to detail
• The ability to follow through timely on tasks is essential
• Possess excellent written, verbal, and interpersonal communication skills
• Must possess initiative; tact; poise; neat personal appearance; and physical condition commensurate with the requirements of the position
• Project management of multiple initiatives with the ability to prioritize and meet deadlines
• Ability to work independently in a fast-paced, cross-functional environment

Benefits

• 3 weeks PTO & 8 paid holidays
• Medical, Dental, Vision
• Employer Paid Basic Life & Short Term Disability coverage (goes into effect after 1 year of full-time employment)
• 401(k) with match
• Employee Wellness
• Other Employee Discount programs like Tickets at Work and cell phone discounts
• Other benefits: Dependent Care FSA, Voluntary Life, Long Term Disability, Critical Illness, Pet Insurance, and more

Pay

$77,417.00 to $116,126.00

Schedule

Full Time: Monday-Friday. Hybrid position, travelling in Durham and Raleigh area.