Risk Adjustment Coding Educator responsible for leading coding initiatives and educating providers. Contributes to clinical documentation improvement in a health plan setting.
Responsibilities
Acts as the clinical coding subject matter expert and lead coding resource across the organization
Acts as a resource and provides education to providers on clinical coding standards
Coordinates and leads the Alliance Coding Workgroup
Requirements
Strong background in clinical coding and documentation education with current certification as a Registered Health Information Administrator (RHIA) and Certified Coding Specialist (CCS)
Demonstrated experience in supporting the development and implementation of clinical documentation improvement (CDI) programs
Excellent communication skills with the ability to clearly explain complex regulatory or clinical coding concepts to diverse audiences
Meticulous attention to detail with a strong foundation in auditing practices
Experience leading cross functional workgroups
Current certification as a Certified Coding Specialist (CCS) issued by the American Health Information Management Association and as a Certified Risk Adjustment Coder (CRC) issued by the American Academy of Professional Coders
Bachelor’s degree in Health Care, Business, Nursing, or a related field
A minimum of eight years of experience including a minimum of three years of clinical experience and a minimum of eight years of risk adjustment coding experience which included provider education responsibilities (an Associate’s degree and an additional two years of experience may substitute for the Bachelor’s degree); or an equivalent combination of education and experience may be qualifying
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