Medicare Risk Adjustment Provider Educator

Complete Health

2d•$60,000 - $80,000

About The Position

Be part of our growing regional company whose main objective is putting our patients first. The provider educator is responsible for identifying opportunities to improve coding, documentation and quality of care. The educator will customize an education plan customized for each provider. Position overview: Plan, conduct and coordinate all aspects of MRA process evaluation and education to internal and external partners, including but not limited to:

Requirements

5 years of strong Risk Adjustment coding experience and understanding of Value Based Medicine
Exceptional interpersonal, public speaking and presentation skills
Strong knowledge in various EMR systems, Microsoft Office Applications.
Light travel to Corporate Office as needed.

Responsibilities

Communicating a comprehensive understanding of Medicare Risk Adjustment, Documentation & Coding guidelines to both external/internal partners while ensuring compliance with regulatory.
Analyze reports to identify and report documentation/coding trends in order to create opportunities for improvement with internal and external partners.
Ensure provider documentation and diagnostic code selections are appropriate and recommend improvements as necessary, including system-view recommendations based on EMR scope
Continually assess the knowledge and appropriate application of ICD-10 documentation and coding guidelines
Leverage reporting benchmarks and MRA success measures to prioritize efforts
Demonstrate a professional and effective face to face communication style and address issues as they arise
Act promptly in routine situations while building productive relationships and establish rapport.
Guide business and leadership in process improvement
Strong attention to detail and time management skills
Ability to function autonomously and problem solve complex issues