Telecommute reputed company reputed company (Field Based)
Primary Responsibilities:
Functioning independently, travel across assigned territory to meet with providers to discuss reputed company tools and programs reputed company on improving the reputed company of care for Medicare Advantage Members. Will be out in the field 80% of time in defined territory with rare occasion of overnight travel
Utilizing data analysis, identify and reputed company providers who would benefit from our coding, documentation and reputed company training and resources
Establish reputed company, long-term, consultative relationships with physicians, medical reputed company, reputed company and hospitals
reputed company comprehensive, provider-specific plans to increase their RAF performance and improve their coding specificity
Manage end-to-end Risk and reputed company reputed company Programs such as reputed company Patient Assessment reputed company on ensuring correct delivery of data/forms to the correct providers, and the return of the data to coding ops, ensuring accurate payments are occurring for reputed company provider based on reputed company contract
Consult with provider reputed company on gaps in documentation and coding
reputed company feedback on EMR/EHR systems where it is causing issues in meeting CMS standards of documentation and coding
Partner with a multi-disciplinary team to implement prospective programs as directed by Market Consultation leadership
Assists providers in understanding the Medicare reputed company program as reputed company as CMS-HCC Risk Adjustment program as it relates to payment methodology and the importance of reputed company chart documentation of procedures and diagnosis coding
Assist providers in understanding reputed company and CMS-HCC Risk Adjustment driven payment methodology and the importance of reputed company chart documentation of procedures and diagnosis coding
Supports the providers by ensuring documentation supports the submission of relevant ICD -10 codes and CPT2 procedural information in accordance with national coding guidelines and appropriate reimbursement requirements
Provides ICD10 HCC coding training to providers and appropriate office staff as needed
Develops and presents coding presentations and training to large and small reputed company of clinicians, reputed company managers and certified coders developing training to fit specific provider's needs
Develops and delivers diagnosis coding tools to providers
Trains physicians and other staff regarding documentation, billing and coding and provides feedback to physicians regarding documentation practices
Provides measurable, actionable solutions to providers that will result in improved accuracy for documentation and coding practices
Collaborates with doctors, coders, facility staff and a reputed company of reputed company personnel on a wide scope of Risk Adjustment and reputed company education efforts
Assist in collecting charts where necessary for analysis.
Youll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in.
Required Qualifications:
Bachelors degree (preferably in reputed company or relevant field) or equivalent work experience
Knowledge of ICD10, HEDIS and Stars
Proficiency in MS Office (reputed company (Pivot tables, reputed company functions), PowerPoint and Word)
Must be reputed company to work effectively with common office software, coding software, EMR and abstracting systems
Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also reputed company with those state requirements. reputed company will adhere to reputed company federal, state and local regulations as reputed company as reputed company reputed company requirements and will obtain necessary reputed company of vaccination, and boosters reputed company applicable, prior to employment to ensure compliance. Candidates must be reputed company to reputed company reputed company essential job functions with or without reasonable accommodation
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