Clinical Documentation Educator

Summit Health

3d • $70,000 - $85,000

About The Position

As a Clinical Documentation Educator, you will be accountable for ensuring providers are documenting and coding conditions in accordance to the VMD standard. The goal of the role will be to oversee provider education and subsequently improve documentation accuracy across HCC coding. The Clinical Documentation and Coding Accuracy Educator will review performance metrics and reports, as well as patient charts, to identify areas of opportunity to support coding accuracy and effective documentation practices. He/she will educate all primary care providers, physicians and advanced practice practitioners, and other clinical staff on a process for improving coding accuracy performance, proper documentation and general coding practices.

Requirements

• High School Diploma or Equivalent required
• Professional Coding Certification such as CRC, CCS, CPS required
• A minimum of 5 years of experience in advanced professional coding
• A minimum of 5 years of experience in coding training and/or education
• Experience in a large, independent clinic organization or the ambulatory environment of a hospital or integrated delivery system (Primary Care Practice highly preferred)
• Familiarity with Electronic Health Records documentation methodologies
• Demonstrated achievement with change management and quality improvement initiatives
• Proven success in building relationships and establishing credibility with doctors, nurses and other clinical staff
• Exceptional communication skills
• High level of emotional intelligence
• Ability to navigate resistance to change and solve problems effectively
• Ability to travel across assigned market(s) or region(s): 30%

Responsibilities

• Conduct individual training and group education sessions on proper coding and documentation practices for physicians and staff consistent with industry standards and in compliance with coding guidelines
• Provide new coder onboarding education and support
• Review charts and query provider to address documentation reassessment opportunities and to prompt higher accuracy and/or specificity
• Conduct post-encounter review sessions with providers either in person or virtual
• Focused efforts for other identified performance outliers
• Coach, facilitate, solve work problems and participate in the work of the team
• Ensure compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines
• Work with market to understand what payor audit/documentation requests require compliance review
• Direct and timely provider remediation response to compliance audit plan results
• Effectively communicate and implement new coding education and initiatives with providers, including the appropriate change management support to ensure successful adoption
• Host market level “coding office hours”
• Collaborate with local market risk operations leader to complete provider education activities including 1:1 education, clinic education and all supporting provider education activities
• Collaborate with clinical stakeholders to continually develop new and maintain existing educational resources and internal guidelines
• Demonstrate the ability to appropriately use coding principles that comply with CMS regulations and company goals and policies
• Identify opportunities for improving coding accuracy through chart review and report review
• Special review projects as assigned for analytics
• Participate as needed on process improvement, operational development and concept validation teams to share best practices and assist in the creation of best-in-class coding tools to support VillageMD risk adjustment accuracy

Benefits

• health insurance
• dental insurance
• life insurance
• access to a 401k plan with company match

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED