Coding Educator

Job Description Summary

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The Risk Adjustment Provider Educator provides Risk Adjustment education to providers and all support staff through a variety of mediums including direct interactive learning sessions individually or in group settings, written guides and protocols, audits, etc. This role will provide analytical interpretation of Risk Adjustment data to determine areas of focus and improvement opportunities.

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How will you make an impact & Requirements

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In addition, this role will facilitate and provide detailed analysis, reporting, training, education, and support to Providers and staff to promote accurate clinical documentation along with HCC opportunities identified via performed analysis.

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.

Physical Demands

Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Repetitive motion. Substantial movements (motions) of the wrists, hands, and/or fingers. The worker must have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Ability to lift to 15 lbs. independently not to exceed 50 lbs. without help. Equal Employment Opportunity

• MPG is committed to equal employment opportunities. We will not discriminate against employees or applicants for employment in employment opportunities or practices based on race, color, sex (including pregnancy), genetic information, sexual orientation, religion, physical or mental disability, age, military or veteran status, marital status, familial status, national origin, or any other legally protected class.
• Equal opportunity applies to all areas of the employment relationship, including hiring, promotions, training, terminations, working conditions, pay, and other terms and conditions of employment.
• Millennium Physician Group (MPG) is committed to the full inclusion of all qualified individuals. In keeping with our commitment, MPG will take steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully

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