Risk Adjustment Documentation & Coding Educator
Risk Adjustment Documentation & Coding Educator
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1 Vacancy
Job Description
The Risk Adjustment Documentation & Coding Educator is responsible for supporting the growth and improvement of Privia Healths risk adjustment capabilities by conducting training education and management of coding and documentation improvement programs. The Educator will enhance the educational programs necessary to support valuebased care initiatives impacting the Medicare Shared Savings Program and Medicare Advantage and Commercial valuebased care agreements. This individual will work in a matrixed organization to deliver complex ideas support various key stakeholders and assist with executing new risk adjustment initiatives. The ideal candidate is knowledgeable in coding and documentation guidelines knows how to develop strong relationships with clinicians and is an effective strong communicator. Successful candidates will also have extensive presentation experience in the following areas: ICD10CM CPT and HCPCS.
- Using primarily the Hierarchical Condition Category (HCC) Risk Adjustment model conduct training with individual and large provider groups predominantly inperson
- Educate providers on the purpose of risk adjustment as well as detailed and current risk adjustment documentation and coding training
- Execute on risk adjustment onboarding training plans with new providers in the market
- Analyze key coding performance indicators to determine those providers in need of initial or additional training.
- Identify training priorities and proactively schedule provider trainings with providers offices individual providers and groups of providers
- Train on effective EHR workflows to support coding and documentation for both known and suspected conditions.
- Expert in how providers document and code in the EHR clinical record; serve as level one support for basic EHR customer support questions specific to risk adjustment workflows
- Meet key performance indicators and quarterly objectives
- Act as the internal subject matter expert and escalation point for risk adjustment and coding documentation
- Accurately follow documentation and coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies
- Perform other related duties which may be inclusive but not listed in the job description
Qualifications :
- 5 years experience with coding and documentation
- Certified Professional Coder (CPC) required; Certified Risk Adjustment Coder (CRC) preferred
- Federal laws and regulations including NCDs and LCDs affecting risk adjustment documentation and coding compliance
- Extensive knowledge of documentation and coding guidelines established by the Center for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA) for assignment of diagnostic and procedural codes
- MS Office Suite Electronic Medical Records Encoder Coding Clinic GSuite other software programs and internet based applications as needed to fulfill position duties
- A valid unrestricted drivers license and a reliable vehicle
- Maintain patient team member and employer confidentiality; comply with all HIPAA regulations
The salary range for this role is $70000.00 $87000.00 in base pay and exclusive of any bonuses or benefits (medical dental vision life and pet insurance 401K paid time off and other wellness programs). This role is also eligible for an annual bonus targeted at 10% .The base pay offered will be determined based on relevant factors such as experience education and geographic location.
Additional Information :
All your information will be kept confidential according to EEO guidelines.
Technical Requirements (for remote workers only not applicable for onsite/in office work):
In order to successfully work remotely supporting our patients and providers we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.
Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. Privia is a better company when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age color national origin physical or mental (dis)ability race religion gender sex gender identity and/or expression marital status veteran status or any other characteristic protected by federal state or local law.
Remote Work :
Yes
Employment Type :
Fulltime
Employment Type
Remote
Company Industry
Key Skills
- Early Childhood Education
- Algebra
- Classroom Experience
- Lesson Planning
- Special Education
- Adult Education
- Special Needs
- Calculus
- Teaching
- Geometry
- Experience with Children
- Public Speaking
