HCC Physician Educator
Full Time
Job Title: Medicare Risk Adjustment Educator
Location for Hire: Dallas/Fort Worth, TX
Exempt Status: Non-Exempt
Division: Coding
Reports to: Manager, Coding
Summary:
The Medicare Risk Adjustment Educator is responsible for identifying opportunities to improve provider documentation and creating a customized education plan tailored to each assigned provider. In this role, the Educator will integrate with the on-site staff to review medical records and arrange educational sessions with the provider aimed at quality of care and documentation improvements.
Responsibilities:
- On-site review and analysis of provider documentation with an eye toward compliance with CMS rules and regulations to capture risk adjusting (HCC) diagnoses
- Develop a customized education plan for each assigned provider to address opportunities for clinical document improvements identified during the review
- Provide one-on-one instruction with providers to address concepts identified by the Educator
- Integrate with the provider and their staff to identify process improvement opportunities
Skills and Competencies:
- Experienced Medicare Risk Adjustment (HCC) coder with a strong knowledge of ICD-10-CM diagnostic coding
- Possess excellent written, verbal, and interpersonal communication skills
- Experience providing feedback and gaining buy-in for recommendations
- Demonstrated ability to gather and analyze data to identify trends
- Proven track record of risk adjustment coding accuracy
- Familiarity with common EMR applications and proficient in Microsoft Office (Word, PowerPoint, Excel)
- Team-player with excellent time management, self-motivation, problem-solving, and attention to detail
Qualifications:
- HS Diploma/GED required; AA degree or higher preferred or equivalent job-related experience
- Possess at least one of the following professional certifications: CPC, CRC, CCS, CCS-P, RHIT, RHIA; CPMA and/or CPC-I is a plus
- Minimum of 4 years of HCC coding experience
- Minimum of 2 years of direct provider interaction
- Travel required, at times within a 30-50 mile radius is expected
- A valid driver’s license and insurance/liability policy in the employee’s name is mandatory in applicable cities/states when a motor vehicle is necessary for the position. Management will notify such employees when applicable
CONTACT: kjohnston@wellerhit.com
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