Risk Adjustment Education Specialist
3 weeks ago
Christus Health is seeking a highly skilled Risk Adjustment Education Specialist to join our team. This role will be responsible for providing education and training to healthcare providers on risk adjustment coding and CMS data validation.
Key Responsibilities- Develop and implement education programs for healthcare providers on risk adjustment coding and CMS data validation.
- Analyze data to identify patterns and develop interventions to improve risk adjustment coding.
- Work with other departments to ensure compliance with CMS risk adjustment guidelines.
- Conduct provider education and training on risk adjustment coding and CMS data validation.
- Build positive relationships with assigned physicians and serve as a contact for any questions or concerns.
- Identify practices that need initial or ongoing additional training.
- Must be proficient in prospective, retrospective, and concurrent review processes.
- Must have strong clinical knowledge of disease pathology and ability to identify clinical indicators related to chronic disease.
- Must be self-motivated, energetic, and able to work autonomously with limited direction.
- Must be results-oriented, analytical, and a good communicator.
- Associate degree or equivalent experience required.
- 5 years of experience in a hospital, physician setting, or managed care organization as a medical coder required.
- 2 years of experience in coding with knowledge of Medicare risk adjustment (HCC Coding) required.
- Other experience in teaching, training, or an educator/instructor role is needed, but provider education experience is preferred.
- Must have experience in creating effective training materials and presentations.
- Licenses, Registrations, or Certifications
- Certified Professional Coder (CPC) from AAPC is required.
- Certified Risk Adjustment Coder (CRC) from AAPC is preferred.
Full Time
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