Hartford, Connecticut, USA
1 day ago
Risk Adjustmt Coder Educator / Clinical Integration
Work where every moment mattersEvery day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemJOB SUMMARYThe Risk Adjustment Coder Educator develops and implements an enterprise wide risk adjustment coding and documentation education program to support documentation practices among contracted providers that comply with CMS risk adjustment program requirements and ICD coding guidelines The Risk Adjustment Coder Educator will serve as a training resource for Risk Adjustment department staff and associated departmentsJOB RESPONSIBILITIES Oversees the development of complex and advanced ICD and Hierarchical Condition Category HCC coding and documentation training programs including defining training objectives developing training materials and tools Implements documentation and coding training programs for Medicare Advantage contracted providers Presents coding and documentation education in a variety of settings Identify process improvements to capture data for Medicare Risk Adjustment Builds relationships programs and processes alongside providers that will result in more accurate documentation and coding of diagnoses Develops strategies to support knowledge transfer and testing to determine outcome and success of training Provides individualized education to physicians and tracks performance over time Creates ldquotrain the trainer guidesrdquo and participant materials Demonstrate a face to face communication style and address issues as they arise Support the teamrsquos success by providing necessary resources and breaking down barriers Provide necessary resources and helps to remove obstacles while demonstrating personal commitment to the group Provide necessary resources and helps to remove obstacles while demonstrating personal commitment to the groupWork where every moment mattersEvery day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemJOB SUMMARYThe Risk Adjustment Coder Educator develops and implements an enterprise wide risk adjustment coding and documentation education program to support documentation practices among contracted providers that comply with CMS risk adjustment program requirements and ICD coding guidelines The Risk Adjustment Coder Educator will serve as a training resource for Risk Adjustment department staff and associated departmentsJOB RESPONSIBILITIES Oversees the development of complex and advanced ICD and Hierarchical Condition Category HCC coding and documentation training programs including defining training objectives developing training materials and tools Implements documentation and coding training programs for Medicare Advantage contracted providers Presents coding and documentation education in a variety of settings Identify process improvements to capture data for Medicare Risk Adjustment Builds relationships programs and processes alongside providers that will result in more accurate documentation and coding of diagnoses Develops strategies to support knowledge transfer and testing to determine outcome and success of training Provides individualized education to physicians and tracks performance over time Creates ldquotrain the trainer guidesrdquo and participant materials Demonstrate a face to face communication style and address issues as they arise Support the teamrsquos success by providing necessary resources and breaking down barriers Provide necessary resources and helps to remove obstacles while demonstrating personal commitment to the group Provide necessary resources and helps to remove obstacles while demonstrating personal commitment to the groupQUALIFICATIONSEducationbull Bachelors degree or equivalent work experienceExperienceMinimum of years in medical claims coding requiredExperience working with CMS health insurers andmedical providers strongly desiredExperience with the nuances of diagnosis coding and risk adjustment programs preferredProgressively responsible role with leadershipexperience and previous experience working in an educationaltraining role preferredLicensure Certification RegistrationMedical Coding Certification Certified Professional Coder CPC Certified Coding Specialist ndash Physician CCS P or Certified Coding Specialist CCS Certified Risk Adjustment Coder CRC preferred required within months of hireWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour momentQUALIFICATIONSEducationbull Bachelors degree or equivalent work experienceExperienceMinimum of years in medical claims coding requiredExperience working with CMS health insurers andmedical providers strongly desiredExperience with the nuances of diagnosis coding and risk adjustment programs preferredProgressively responsible role with leadershipexperience and previous experience working in an educationaltraining role preferredLicensure Certification RegistrationMedical Coding Certification Certified Professional Coder CPC Certified Coding Specialist ndash Physician CCS P or Certified Coding Specialist CCS Certified Risk Adjustment Coder CRC preferred required within months of hireWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour moment
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