Clinical Coding Education Director

5 days ago

Columbus, Ohio, United States CenterWell Full time
About the Role

We are seeking a highly skilled and experienced Associate Director, Clinical Coding Education to join our team at CenterWell. As a key member of our Clinical Education team, you will play a critical role in improving provider documentation and creating tailored education plans for our assigned providers.

Key Responsibilities
  • Determine clinician coding education strategy in collaboration with the Clinical Education team and CDI Medical Director.
  • Align clinician coding education strategy with organizational MRA goals, working closely with AVP Coding and AVP MRA Strategy.
  • Develop a roadmap for clinician coding education based on upcoming changes to the V28 model.
  • Gain buy-in for coding education strategy from division CMOs, clinical leaders, and clinician educators.
  • Work closely with the Coding team and Coder Education teams to incorporate performance data and input into clinician education strategy.
  • Develop, design, and deploy clinician coding education, leveraging coding educators on your team to provide education to providers in partnership with clinician educators.
  • Seek feedback and secure buy-in for ongoing education from clinical leaders.
  • Develop and maintain a scorecard to assess the effectiveness of clinician coding training, and socialize training data with key clinical leaders.
  • Supervise and develop a team of divisional coding educators (East, West, Florida) to provide clinician education in partnership with clinician educators.
Requirements
  • Active RN license.
  • Minimum five years' experience in risk adjustment coding, auditing, and/or education, working with providers.
  • CPC (Certified Professional Coder) AHIMA or AAPC Certification required.
  • Minimum of three years' experience in a clinic setting, preferably in Value-based Care space.
  • Minimum of two years' experience leading large-scale projects across a matrixed organization.
  • Minimum of two years' leadership experience.
  • Knowledge of EMR.
  • In-depth knowledge of risk adjustment key performance indicators.
  • Comprehensive knowledge of MS Word, Excel, and PowerPoint.
About Us

CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth-largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional, and social wellness of our patients.

We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities, and company. By providing flexible scheduling options, clinical certifications, leadership development programs, and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status, and to base all employment decisions only on valid job requirements.

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