Educator-Risk Adjustment Documentation & Coding-2

Northeast Georgia Health System • Gainesville, GA

476d

About The Position

The Educator-Risk Adjustment Documentation & Coding role at Northeast Georgia Health System focuses on enhancing coding and documentation accuracy for healthcare providers. This position involves providing training on disease-specific risk adjustment, conducting regular reviews of medical records, and supporting initiatives aimed at improving documentation and coding practices. The role requires collaboration with clinical and administrative teams to achieve strategic goals related to risk adjustment and clinical documentation improvement.

Requirements

• Certified Risk Adjustment Coder (CRC) certification required.
• Bachelor's Degree required.
• Minimum of 3+ years of ICD-10-CM outpatient coding and provider query experience in internal medicine/primary care settings.
• Strong knowledge of ICD-10-CM Coding Guidelines, E/M, CPT/HCPCS, CMS-HCC risk adjustment model, medical record review project management, encounter data management.
• Demonstrated ability to work cross-functionally within corporate matrix environments.
• Excellent verbal and written communication skills.
• Proficient with Microsoft Office applications (Word, Excel, Outlook, PowerPoint).

Nice To Haves

• CPC certification preferred.
• Experience in a clinical support role preferred.

Responsibilities

• Supports the implementation of initiatives to improve coding and documentation accuracy for HP2 providers.
• Provides disease-specific risk adjustment provider training that balances clinical and coding/documentation focuses.
• Regularly reviews provider medical records for accurate and complete documentation and coding.
• Supports retrospective chart reviews as well as pre-visit planning and post-visit coding.
• Delivers provider training and education in various formats based on need and internal initiatives.
• Interacts with providers and clinical/administrative team members to enhance understanding of Clinical Documentation Improvement program goals.
• Audits charts as part of the overall risk score improvement plan and organizes findings to share with providers and leadership.
• Identifies chronic conditions for providers to review during patient visits.
• Queries providers to ensure complete and accurate documentation and coding after patient visits.
• Maintains current subject matter expertise by attending professional meetings and related continuing education events.

Benefits

• Opportunities for professional development and continuing education.
• Supportive work environment focused on employee growth and well-being.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Hospitals
• Education Level: Bachelor's degree