Supervisor, BOI Education

Millennium Physician Group•New York, NY

19h

About The Position

Under the direction of the Sr. Manager, Risk Adjustment, the Burden of Illness Education Supervisor is responsible for providing first-line supervision for the Burden of Illness team of educators. This role involves daily supervision and monitoring of quality and productivity performance, as well as interviewing, hiring, and disciplining staff. The position participates in process improvement projects and supports departmental and organizational goals. The Supervisor will oversee and coordinate all aspects of provider and medical staff education provided by regional educators, planning, implementing, and evaluating HCC education through various mediums including direct sessions, written guides, protocols, and audits. The role requires monitoring audits and reports to identify areas for improvement and ensuring appropriate assistance and direction for each region. Communication with department and site management is crucial to ensure providers and staff meet Millennium’s standards and goals. This position demands a high degree of collaboration with Medical Directors, Value-Based Operational Leadership, and other Burden of Illness department members, such as concurrent and retrospective coding audit teams and Quality Assurance teams, to support shared initiatives.

Requirements

High school diploma or GED equivalent
Minimum 3 years’ experience working in payor or healthcare provider organization, specifically with roles in value-based care/risk adjustment
Minimum 1 year experience in a lead/senior role
Certified Risk Adjustment Coder (CRC)
Additional acceptable credentials include: Certified Professional Coder (CPC) or other AAPC or AHIMA approved coding credential
Strong communication skills; able to interact with physicians and other clinicians on a professional level
In-depth knowledge of ICD-10-CM diagnostic coding in the Medicare Risk Adjustment environment
In-depth knowledge of NCQA technical specifications, value sets, and clinical standards of care
Strong provider organization root cause analysis of provider office workflows and processes
Must have excellent time management skills, be highly organized, self-motivated
Excellent customer service, problem solving skills and attention to detail
The ability to follow through timely on tasks is essential
Possess excellent written, verbal, and interpersonal communication skills
Must possess initiative; tact; poise; neat personal appearance; physical condition commensurate with the requirements of the position
Project management of multiple initiatives with the ability to prioritize and meet deadlines.

Nice To Haves

5+ years of experience working in healthcare provider organization, specifically with roles in value-based care/risk adjustment
3+ years experience presenting/educating healthcare professionals

Responsibilities

Provides daily supervision of education staff and provides feedback to the Sr. Manager, Risk Adjustment on exceptional and/or substandard performance.
Leads all efforts associated with hiring, interviewing, onboarding and discipline of staff.
Provides ongoing feedback to staff on areas of success and improvement opportunities.
Ensures that all members of the team are following official guidelines, policies, and standard procedures.
Counsels staff on actions required to meet minimum performance requirements.
Provides or arranges for necessary knowledge-based resources required by the staff to meet quality standards.
Prepares staffing schedules to provide adequate coverage for all bodies of work.
Monitors upcoming, in-progress, and completed provider education based on completed audits, new provider onboarding, and other departmental metrics regarding provider support through education.
Plans, develops, and designs HCC education and training programs among education team to ensure continuity of education. This includes preparation, facilitation, and follow-up.
Evaluates education visit notes; performs research on relevant topics and develop and/or revises curriculum modules and/or presentation materials as appropriate.
Coordinates with the MRA Managers to ensure organizational, departmental, and individual benchmarks are met.
Coordinates with direct reports to ensure appropriate education is identified for providers and internal teams
Provides clear, concise, and professional communication to varying audiences depending on the project and its goals.
Executes process improvement projects.
Stays current on applicable coding and documentation guideline changes and rules.
Serves as a point of contact in area of expertise of Risk Adjustment; refers providers to other support services, such as Coding/Billing, IT, Learning & Development, as appropriate.
Supports the MRA department in a positive manner with emphasis on delivering excellent service to all patients, providers, internal and external customers.
Adaptable to shifting priorities and demonstrates willingness to do what it takes to meet department needs.
Understands and complies with policies and procedures for confidentiality of all patient records, HIPAA, and security of systems.
Demonstrates excellent time management, attends and participates in required meetings including hours outside of standard business hours and/or above a 40-hour week.
Promotes Millennium Physician Group’s values.
Perform other job-related duties as may be assigned or required.
Directly supervises assigned employees in the MRA department.
Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.
Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.