Practice Workflow Specialist

Palm Beach Accountable Care OrganizationWest Palm Beach, FL
372d$65,000 - $70,000

About The Position

The Practice Workflow Specialist at Palm Beach Accountable Care Organization plays a crucial role in enhancing value-based healthcare by collaborating with physicians and office staff to optimize EHR workflows and ensure compliance with coding guidelines. This position is ideal for detail-oriented individuals eager to advance their careers in a fast-paced, metric-driven environment.

Requirements

  • College degree or equivalent relevant experience; or equivalent combination of education and experience.
  • Experience as a practice manager or equivalent role.
  • Current CPC certification and knowledge of coding and changes in the Accountable Care or Medicare Advantage industry.
  • Proficiency in MS Office Productivity Tools (Word, Excel, Outlook, PowerPoint) and working knowledge of EHR/Practice Management Systems.

Nice To Haves

  • 1 year of experience with Microsoft Excel (Preferred)

Responsibilities

  • Collaborate with physicians and office staff to review medical records and clinical documentation for risk adjustment codes and quality gap closure opportunities.
  • Participate in special projects and perform other duties as assigned.
  • Present coding guidelines to management and clients as needed.
  • Review provider documentation to ensure appropriate E&M levels are assigned correctly.
  • Ensure compliance with Federal, State, and County laws related to coding and documentation guidelines for Risk Adjustment.
  • Review medical records and various reports to verify accuracy and compliance with coding standards.
  • Orient new providers and monitor their documentation and self-coding until they meet quality standards.
  • Communicate effectively with providers and patients.
  • Assist with billing claims and collection efforts as needed.
  • Create test studies and pilot programs for coding strategies to maximize reimbursement.
  • Consult with physician offices to develop training curriculum for optimal EHR system use.
  • Provide guidance to less experienced educators regarding training and technical issues.

Benefits

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Tuition reimbursement
  • Vision insurance
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