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Provide group
instruction with providers and office staff to address concepts identified by
the Educator
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Provide one-on-one
instruction with providers and/or office staff to address concepts identified
by the Educator
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Integrate with the provider and their staff to identify
process improvement opportunities Skills And Competencies
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On-site review and
analysis of provider documentation with an eye toward compliance with CMS
rules and regulations to capture risk adjusting (HCC) diagnoses
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Develop a customized
education plan for each assigned provider to address opportunities for
clinical document improvements identified during the review
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Connect providers and office staff with additional Health
Plan resources and support as needed
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Maintain strong knowledge of ICD-10-CM diagnostic coding
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Organization
Requirements
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Reports
safety and risk issues.
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Presents
in a professional manner; meets appearance policy standards; wears name badge
on duty.
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Completes
regulatory and annual requirements in a timely manner.
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Reports
to work on time and as scheduled; completes work within designated time.
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Performs
other duties as assigned or required, is willing to help in other departments
and take on additional tasks.
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Regulatory
Requirements:
- HS Diploma/GED required; AA
degree or higher preferred or equivalent job-related experience
- Possess at least one of the
following professional certifications: CPC, CRC, CCS, CCS-P, CDI, RHIT,
RHIA; CPMA wand/or CPC-I is a plus
- Minimum of 4 years of HCC coding
experience
- Minimum of 2 years of direct
provider interaction
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Practice Teamwork:
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Participates in decision-making and process improvement,
regardless of position in the organization.
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Communicates effectively, verbal and written, during every
encounter, shares information in a timely and respectful manner, facilitates
successful handoffs.
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Treats everyone ethically, fairly, compassionately and
without judgment.
Demonstrates
Competency in the Following Areas: Computer proficiency (including MS Windows, MS Office, and
the Internet);
Knowledge of HIPAA, recognizing a commitment to privacy,
security and confidentiality of all medical chart documentation.
Valid driver’s license with ability to travel locally up to
90% of time in the West Palm Beach, Florida.
Local travel to physician offices required – must have a
reliable vehicle.
Ability to work from company’s West Palm Beach location
when not traveling to physician offices.
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