HCC Physician Trainer, Temporary

Regal Medical Group•Los Angeles, CA

6d•$90,000 - $100,000

About The Position

The Physician Trainer works under the lead supervision of the Chief Financial Officer and collaborates with senior Risk Adjustment leadership to maintain, improve, and deliver risk adjustment metrics. The role coordinates and performs projects and initiatives delegated by executive leadership, assesses risk adjustment needs across an assigned network, and oversees the operational and fiscal performance of providers and partners. The position audits patient charts for appropriate documentation and potential unlisted conditions, reviews findings with providers, supplies supporting medical background, and ensures appropriate follow-up care. It also trains and mentors Risk Adjustment staff and conducts regular on-site training for providers and staff. The Physician Trainer serves as the Risk Adjustment lead in management interactions, develops provider relationships, supports problem resolution, and assists with annual incentive program design and implementation and other special projects. The role requires maintaining patient confidentiality and compliance with HIPAA.

Requirements

Experience in Managed Care.
Ability to work with all levels of management.
Excellent verbal and written communication skills.
Proficiency in Microsoft Office programs, including Word, Excel, Outlook, Access, and PowerPoint.
Ability to travel within the service area.
Valid state driver’s license and insurance.

Nice To Haves

Clinical experience is preferred.
Coding experience or a Master’s degree is a plus.

Responsibilities

Audit provider patient charts for appropriate documentation and review chart documents for potential conditions not listed by the provider.
Review audit findings with providers and provide substantiating medical background.
Ensure providers perform appropriate follow-up care based on audit findings.
Train and mentor Risk Adjustment staff.
Work to increase the organization’s Risk Adjustment metrics.
Serve as the Risk Adjustment lead in interfacing with all levels of management.
Conduct regular on-site Risk Adjustment training for providers and staff.
Interact daily with the direct supervisor regarding operational needs across the assigned network.
Assist with the design and implementation of annual Risk Adjustment incentive programs.
Establish provider relationships and ensure problem resolution.
Maintain patient confidentiality and observe HIPAA compliance.
Assist with special projects and perform other duties as directed by management.