Job Overview
We are inviting a skilled and committed professional to join our esteemed team as a Health Risk Educator Consultant in a remote capacity. This position presents a unique chance to leverage your clinical acumen to elevate healthcare outcomes, with a specific emphasis on documentation, coding, and provider training…
In this role, you will collaborate closely with healthcare providers to enhance their documentation practices, ensuring precise coding and submission of medical claims. Acting as a clinical liaison, you will utilize your extensive knowledge to assist providers in delivering exceptional care while pinpointing areas for process enhancement.
Key Responsibilities
Utilize clinical expertise to assess, plan, monitor, and evaluate healthcare services within a provider office environment.
Engage in direct patient care and assessments, educating providers on accurate medical documentation, proper coding, and claims submission.
Conduct thorough chart reviews to affirm accurate assignment of ICD-10 codes supported by clinical documentation.
Act as a subject matter expert, providing guidance and training to healthcare providers regarding appropriate documentation and coding practices.
Perform audits of medical records to uncover opportunities for improvement and boost efficiency in risk adjustment and care delivery.
Collaborate with colleagues and the national team to relay barriers and propose strategies for enhancing healthcare outcomes and risk score accuracy.
Lead workgroups that focus on developing learning strategies to bolster improved healthcare delivery.
Identify and disseminate best practices in risk adjustment across various sites and regions to foster continuous quality enhancement.
Manage multiple complex projects concurrently, ensuring timely completion aligned with organizational objectives.
Required Skills
CPC (Certified Professional Coder) certification is mandatory.
Comprehensive knowledge of regulatory guidelines and medical record documentation review.
Proficiency in ICD-10 coding with at least 3 years of relevant experience.
Strong familiarity with Electronic Medical Records (EMR) systems such as Epic, Athena, or Cerner.
Exceptional communication and training skills.
Ability to manage multiple intricate projects simultaneously.
Strong analytical and problem-solving capabilities.
Qualifications
A minimum of 3 years of experience in risk adjustment within Medicare Advantage or commercial environments.
At least 3 years of experience in educating providers concerning medical documentation and coding.
Deep understanding of healthcare documentation practices and coding guidelines.
Career Growth Opportunities
This position offers substantial opportunities for professional development and advancement within the healthcare industry. By joining our team, you will gain exposure to a network of professionals dedicated to improving healthcare delivery, fostering collaborative relationships, and driving innovative solutions.
Company Culture and Values
We pride ourselves on a workplace culture that prioritizes employee well-being and community impact. Our organization values diversity, inclusivity, and a commitment to making healthcare more accessible, personal, and effective for all.
Compensation And Benefits
We provide a competitive salary, with a typical pay range of (54,095.60 to )116,760.80, contingent upon experience, education, and location. This role is eligible for performance-based bonuses, commissions, or short-term incentive programs.
In addition to competitive pay, you will enjoy a comprehensive benefits package that includes:
Medical, dental, and vision insurance options.
Enrollment eligibility for a 401(k) retirement savings plan and Employee Stock Purchase Plan.
Fully-paid term life insurance and short- and long-term disability benefits.
Well-being programs, education assistance, and access to free development courses.
Exclusive store discounts and partnerships.
Generous Paid Time Off (PTO) and paid holidays, in accordance with state regulations and company policies.
Join our mission-driven team and help us shape the future of healthcare, ensuring it is more accessible and personalized for everyone.
Employment Type: Full-Time
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