Risk Adjustment Provider Educator

Job Description

Job Description

Millennium Physician Group

Risk Adjustment Provider Educator

REMOTE

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 promote accurate clinical documentation along with HCC opportunities identified via performed analysis.

Responsibilities

• Transforms raw data into actionable intelligence to prioritize provider education and risk adjustment
• 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.

Qualifications

Physical Demands

Sedentary work. Exerting up to 10 pounds of force occasionally and / or negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Repetitive motion. Substantial movements (motions) of the wrists, hands, and / or fingers. The worker must have close visual acuity to perform an activity such as : preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Ability to lift to 15 lbs. independently not to exceed 50 lbs. without help.

Equal Employment Opportunity

MPG is committed to equal employment opportunities. We will not discriminate against employees or applicants for employment in employment opportunities or practices based on race, color, sex (including pregnancy), genetic information, sexual orientation, religion, physical or mental disability, age, military or veteran status, marital status, familial status, national origin, or any other legally protected class.

Equal opportunity applies to all areas of the employment relationship, including hiring, promotions, training, terminations, working conditions, pay, and other terms and conditions of employment.

Millennium Physician Group (MPG) is committed to the full inclusion of all qualified individuals. In keeping with our commitment, MPG will take steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and / or to receive all other benefits and privileges of employment, contact HRbenefits@mpgus.com.

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