HCC Coding/Risk Adjustment Provider Educator

About the position Responsibilities • Coordinate with ACOs on common strategies to improve quality, coding, and health equity. • Work with the analytics team to set metrics to measure the success of the program and monitor progress of individual providers. • Identify providers who would benefit from a provider education program and prioritize engagement. • Take feedback from ACO and internal leadership to focus on areas of educational need and improve process. • Stay up-to-date on the latest ICD-10 guidelines, OIG Letters, CMS guidance, and Coding Clinics. • Create training material to distribute externally to ACOs. • Provide virtual and/or onsite presentations on chart reviews and various topics related to quality improvement to clinicians, staff, and leadership. • Analyze risks in documentation, billing, and quality and implement a plan to mitigate those risks through intervention. • Utilize analytical thinking to assess coding data and trends. • Review basic analytic reports to evaluate coding accuracy and efficiency. • Present analytic findings and insights during provider training sessions to inform and improve coding practices. • Maintain a schedule of provider education visits to provide timely feedback to clinicians. • Execute the development, implementation, and maintenance of departmental policies, procedures, and programs. • Perform other duties as assigned. Requirements • CPC and CRC coding certification from AAPC, CCS coding certification from AHIMA. • Three to five years of experience in provider education, HCC coding, and care management. • 3+ years of experience in healthcare. • Proven analytic experience using Microsoft Excel, database query capabilities. • Strong and effective decision-making skills. • Excellent organizational skills and ability to successfully prioritize multiple tasks. • Proficiency with Microsoft Suite of products (i.e., Word, Excel, PPT, etc.). • Ability to effectively interact with all levels of the organization. • Excellent verbal and written communication skills. • Proficiency in ICD/10-CM medical coding. • Advanced analytical skills, with the ability to interpret and synthesize basic data sets. • Knowledge of business process improvement techniques and strategies. • Negotiation skills. • Presentation skills. • Ability to effectively navigate ambiguous situations with limited direction. Nice-to-haves • Bachelor's degree or an equivalent combination of education and experience. Benefits • Hybrid work schedule. • Support for associate well-being and work/life balance.