Coding & Clinical Documentation Educator
About The Position
Responsible for assisting with Clinical Documentation Integrity (CDI) related to Risk Adjustment and documentation best practices. This position understands clinical suspects and appropriate clinical documentation and accurate coding. Additionally, this role provides Hierarchical Condition Category (HCC) education, including clinical documentation integrity, coding, HCC Risk Adjustment Methodology, and provider performance metrics. In addition, this position works closely with providers and operations to ensure effective education delivery. Responsibilities for this role include maintaining an advanced understanding of the HCC risk adjustment methodology gained from HCC documentation, coding, and provider education experience. This role contributes to the overall effectiveness of clinical documentation and coding practices.
Requirements
- Technical/Vocational School
- 5 years of coding experience, or experience with clinical documentation reviews and provider education.
Nice To Haves
- Bachelor's degree
- Registered Health Information Technician (RHIT) - Cert, OR
- Certified Coding Specialist (CCS), OR
- Certified Risk Adjustment Coder (CRC), OR
- Certified Documentation Improvement Practitioner (CDIP) OR
- Certified Clinical Documentation Specialist-Outpatient (CCDS-O), OR
- Certified Clinical Documentation Specialist (CCDS)
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.
Benefits
- Benefits from Day One
- Paid Days Off from Day One
- Career Development
- Whole Person Wellbeing Resources
- Mental Health Resources and Support
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Industry
Ambulatory Health Care Services
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
