Educator-Risk Adjustment Documentation & Coding - (Hybrid)

Job Category:Clinical Support

Work Shift/Schedule:8 Hr Morning - Afternoon

Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.

About the Role:

Job Summary

Supports the implementation of initiatives to improving coding and documentation accuracy for HP2 providers. Provides disease-specific risk adjustment provider training that balances both clinical and coding/documentation focuses. Responsible for implementation of initiatives to improve documentation and coding accuracy. Regularly reviews provider medical records for accurate and complete documentation and coding following the coding education and training curriculum. Supports retrospective chart reviews as well as pre-visit planning and post visit coding.

Minimum Job Qualifications

Licensure or other certifications: Certified Risk Adjustment Coder (CRC). Certifications. CPC a plus

Educational Requirements: Associate Degree

Minimum Experience: 3+ years of ICD-10-CM outpatient coding and provider query experience in internal medicine/primary care settings

Other:

Preferred Job Qualifications

Preferred Licensure or other certifications:

Preferred Educational Requirements:

Preferred Experience:

Other:

Job Specific and Unique Knowledge, Skills and Abilities

Strong knowledge of ICD-10-CM Coding Guidelines, E/M, CPT/HCPCS, CMS-HCC risk adjustment model, medical record review project management, encounter data management

Demonstrated ability to work cross-functionally within corporate matrix environments

Effective ability to collaborate and partner on complicated initiatives

Excellent verbal and written communication skills

Proficient with Microsoft Office applications (Word, Excel, Outlook, PowerPoint)

Essential Tasks and Responsibilities

Reviews medical records in support or pre-visit planning and post-visit program for opportunities with complete and accurate documentation and coding

Delivers provider training and education in a variety of formats based on need and internal initiatives. Such formats may include classroom style education, webinar, face to face or written content

Regularly interacts with providers and clinical/administrative team members to enhance understanding of Clinical Documentation Improvement program goals in order to achieve Risk Adjustment strategic goals and initiatives

Audits charts as part of the overall risk score improvement plan. Organizes findings to share with providers, leadership and others as deemed necessary

Identifies chronic conditions for providers to review during patient visits

Queries providers to ensure complete and accurate documentation and coding after patient visits

Partners with providers and clinical/administrative staff to enhance understanding of Clinical Documentation Improvement program goals in order to achieve Risk Adjustment strategic goals and initiatives

Maintains current subject matter expertise by attending professional meetings, seminars, and related continuing education events

Collaborates with internal teams to assure project-specific goals are met

Physical Demands

Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time

Weight Carried: Up to 20 lbs, Occasionally 0-30% of time

Vision: Moderate, Occasionally 0-30% of time

Kneeling/Stooping/Bending: Occasionally 0-30% of time

Standing/Walking: Occasionally 0-30% of time

Pushing/Pulling: Occasionally 0-30% of time

Intensity of Work: Occasionally 0-30% of time

Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding

Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.

NGHS: Opportunities start here.

Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.

Permanent