Risk Adjustment Provider Educator

Millennium Physician Group•New York, NY

About The Position

Formed in 2008 and headquartered in Fort Myers, Florida, with offices in Florida, North Carolina, and Texas, Millennium Healthcare is the largest independent physician group in the state of Florida and one of the largest in the United States. At Millennium Physician Group, our employees are the foundation of our success. Our promise is to provide you with the tools to do your job successfully, as well as providing a team atmosphere that empowers you to seek better ways to deliver care to our patients and their families. We also promise to care for you as an individual and help you grow in your role The Risk Adjustment Provider Educator provides Risk Adjustment education to providers and all support staff through a variety of mediums including direct interactive learning sessions individually or in group settings, written guides and protocols, audits, etc. This role will provide analytical interpretation of Risk Adjustment data to determine areas of focus and improvement opportunities. In addition, this role will facilitate and provide detailed analysis, reporting, training, education, and support to Providers and staff to ‎

Requirements

Bachelor’s Degree or equivalent work experience.
2+ years of experience in training program design and development
2+ years of experience in risk adjustment and ICD-10 coding in the Medicare Risk Adjustment environment
Certified Risk Adjustment Coder (CRC) or similar.
Possess strong critical thinking and analytical skills and an extensive, in-depth knowledge of the HCC Risk Adjustment models.
Proven ability to analyze data, present results effectively through provider education, and monitor the effectiveness of the education provided.
Strong communication skills.
Intermediate Excel skills (Pivot tables, VLOOKUP, Advanced formulas, etc.) and data visualization skills.
Intermediate Microsoft PowerPoint skills with the ability to transform analytical output into simple-to-understand visuals.
In-depth knowledge of ICD-10-CM diagnostic coding.
Must have excellent time management skills, be highly organized, self-motivated.
Excellent customer service, problem-solving skills, and attention to detail.
The ability to follow through timely on tasks is essential.
Possess excellent written, verbal, and interpersonal communication skills.
Must possess initiative; tact; poise; neat personal appearance; and physical condition commensurate with the requirements of the position.
Project management of multiple initiatives with the ability to prioritize and meet deadlines.
Ability to work independently in a fast-paced, cross-functional environment.

Responsibilities

Transforms raw data into actionable intelligence to prioritize provider education and risk adjustment initiatives.
Possesses a proven ability to analyze, report, and provide data insights.
Identifies documentation and coding improvement opportunities and gives guidance around best practice strategies in risk adjustment performance.
Analyzes provider coding patterns and performs follow-up audits post-education to track documentation and coding improvement.
Demonstrates knowledge and an ability to apply coding policies and guidelines to the provider documentation review process.
Possesses excellent attention to detail.
Stays current on applicable documentation guideline changes and rules.
Works effectively and efficiently within a team environment.
Adaptable to shifting priorities and demonstrates a willingness to do what it takes to meet team needs.
Understands and complies with policies and procedures for confidentiality of all patient records, HIPAA, and security of systems.
Promotes Millennium Physician Group’s values.
Build relationships with the clinical and clerical teams to ensure open communication for questions concerning the Risk Adjustment program and its components
Demonstrate excellent guest service to internal team members and patients.
Perform other related duties as assigned.