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Medicare Risk Adjustment Provider Educator

3 months ago


Birmingham, United States Complete Health Full time
Job Description

Be part of our growing regional company whose main objective is putting our patients first. The Support Specialist is responsible for identifying opportunities to improve risk coding, proper documentation and quality of care. The support specialist will work closely and in tandem with the Provider Educators to customize an education plan for each provider.

Position overview:

Plan, conduct and coordinate all aspects of MRA process, evaluation and education to internal and external partners, including but not limited to:

Communicating a comprehensive understanding of Medicare Risk Adjustment, documentation and coding guidelines to both external partners

Analyze reports to identify and report documentation/coding trends in order to create opportunities for improvement with internal and external partners.

Ensure provider documentation and diagnostic code selections are appropriate and recommend improvements as necessary, including system-view recommendations based on EMR scope

Continually assess the knowledge and appropriate application of ICD-10 documentation and coding guidelines

Leverage reporting benchmarks and MRA success measures to prioritize efforts

Demonstrate a professional and effective face to face communication style and address issues as they arise

Act promptly in routine situations while building productive relationships and establish rapport

Guide business and leadership in process improvement

Strong attention to detail and time management skills

Ability to function autonomously and problem solve complex issues

*Annual Salary $60k

Requirements

Requirements

Knowledge of Value Based Care Principles

Exceptional interpersonal, public speaking and presentation skills

Strong knowledge in various EMR systems, Microsoft Office Applications

Light travel to Corporate Office as needed.