Clinical Education Specialist

2 weeks ago


Redwood City, California, United States Kaiser Permanente Full time
Job Summary:

As a Clinical Education Consultant at Kaiser Permanente, you will be responsible for developing and implementing training programs to support accurate and appropriate coding and documentation practices. This role requires a strong understanding of coding and documentation guidelines, as well as the ability to deliver high-quality training to diverse audiences.

Key Responsibilities:
  • Develop and Implement Training Programs: Create training programs that address documentation risk areas identified through local and regional audits, and provide high-quality training to improve encounter data capture and coding accuracy.
  • Supervise Data Quality Auditors: Ensure that audits and remediation are performed accurately and timely, and in accordance with regional compliance and Federal and State requirements.
  • Conduct Audits and Analyze Results: Conduct Medicare and E/M audits, analyze audit results, and create action plans to address audit findings.
  • Communicate with Medical Center Leadership: Provide expertise on internal and external regulatory requirements, and communicate changes to federal and state government billing and coding guidelines to medical center leadership.
  • Mentor and Coach Entry-Level Trainers: Provide guidance and support to entry-level trainers to ensure they have the necessary skills and knowledge to deliver high-quality training.
Requirements:
  • Experience: Minimum seven (7) years of experience in developing programs and conducting training for diverse audiences with minimal supervision, as well as minimum seven (7) years of coding experience based on Coding Clinic Guidelines for inpatient and outpatient.
  • Education: Bachelor's degree in business administration, health care, public health, finance, business medical records technology, or four (4) years of experience in a directly related field.
  • License, Certification, Registration: Registered Health Information Technician Certificate, Registered Health Information Administrator Certificate, Professional Coder Certificate, or Certified Coding Specialist.
Preferred Qualifications:
  • Experience with PC Applications: Experience using MS Word, Excel, Access, and PowerPoint.
  • Masters Degree: Masters degree in business administration, health care, public health, finance, business medical records technology, or six (6) years of experience in a directly related field.


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