Hybrid Houston, Texas Clinical Documentation Educator
Houston, MS - USA
Job Summary
About Our Company
Were a physician-led patient-centric network committed to simplifying health care and bringing a more connected kind of care.
Our primary multispecialty and urgent care providers serve millions of patients in traditional practices patients homes and virtually through VillageMD and our operating companies Village Medical Village Medical at Home Summit Health CityMD and Starling Physicians.
When you join our team you become part of a compassionate community of people who work hard every day to make health care better for are innovating value-based care and leveraging integrated applications population insights and staffing expertise to ensure all patients have access to high-quality connected care services that provide better outcomes at a reduced total cost of care.
Please Note: We will only contact candidates regarding your applications from one of the following domains: @ @ @ @ @ @ or @.
Job Description
** Position requires candidate to travel to locations in Houston Texas**
As a Clinical Documentation Educator you will be accountable for ensuring providers are documenting and coding conditions in accordance to the VMD standard. The goal of the role will be to oversee provider education and subsequently improve documentation accuracy across HCC coding.
The Clinical Documentation and Coding Accuracy Educator will review performance metrics and reports as well as patient charts to identify areas of opportunity to support coding accuracy and effective documentation practices. He/she will educate all primary care providers physicians and advanced practice practitioners and other clinical staff on a process for improving coding accuracy performance proper documentation and general coding practices.
How You Will Get Things Done:
Conduct individual training and group education sessions on proper coding and documentation practices for physicians and staff consistent with industry standards and in compliance with coding guidelines
Provide new coder onboarding education and support
Review charts and query provider to address documentation reassessment opportunities and to prompt higher accuracy and/or specificity
Conduct post-encounter review sessions with providers either in person or virtual
Focused efforts for other identified performance outliers
Coach facilitate solve work problems and participate in the work of the team
Ensure compliance with established coding guidelines third party reimbursement policies regulations and accreditation guidelines
Work with market to understand what payor audit/documentation requests require compliance review
Direct and timely provider remediation response to compliance audit plan results
How You Will Build Trust:
Effectively communicate and implement new coding education and initiatives with providers including the appropriate change management support to ensure successful adoption
Host market level coding office hours
Collaborate with local market risk operations leader to complete provider education activities including 1:1 education clinic education and all supporting provider education activities
Collaborate with clinical stakeholders to continually develop new and maintain existing educational resources and internal guidelines
Demonstrate the ability to appropriately use coding principles that comply with CMS regulations and company goals and policies
How You Will Innovate:
Identify opportunities for improving coding accuracy through chart review and report review
Special review projects as assigned for analytics
Participate as needed on process improvement operational development and concept validation teams to share best practices and assist in the creation of best-in-class coding tools to support VillageMD risk adjustment accuracy
EXPERIENCE TO DRIVE CHANGE
High School Diploma or Equivalent required
Professional Coding Certification such as CRC CCS CPS required
A minimum of 5 years of experience in advanced professional coding
A minimum of 5 years of experience in coding training and/or education
Experience in a large independent clinic organization or the ambulatory environment of a hospital or integrated delivery system (Primary Care Practice highly preferred)
Familiarity with Electronic Health Records documentation methodologies
Demonstrated achievement with change management and quality improvement initiatives
Proven success in building relationships and establishing credibility with doctors nurses and other clinical staff
Exceptional communication skills
High level of emotional intelligence
Ability to navigate resistance to change and solve problems effectively
Ability to travel across assigned market(s) or region(s): 30%
The base compensation range for this role is $70000 to $85000. At VillageMD compensation is based on several factors including but not limited to education work experience certifications location etc. This role may be eligible for annual/quarterly bonus incentives (if applicable) and the selected candidate will be eligible for a valuable company benefits plan including health insurance dental insurance life insurance and access to a 401k plan with company match
About Our Commitment
Total Rewards at VillageMD
Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMDs benefit platform includes Medical Dental Life Disability Vision FSA coverages and a 401k savings plan.
Equal Opportunity Employer
Our Companyprovides equal employment opportunities (EEO) to all employees and applicants for employment without regard to and does not discriminate on the basis of race color religion creed gender/sex sexual orientation gender identity and expression (including transgender status) national origin ancestry citizenship status age disability genetic information marital status pregnancy military status veteran status or any other characteristic protected by applicable federal state and local laws.
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About Company
Summit Health has more than 2,500 providers, 12,000 employees, and over 340 locations in New Jersey, New York, Connecticut, Pennsylvania, and Central Oregon. Determine your health needs and choose the provider that best fits your needs.