Reviews ambulatory clinical documentation to ensure accurate depiction of patient acuity, including compliant documentation supporting HCC, ICD-10, and medical necessity.
Demonstrates knowledge of CMS coding guidelines to improve the overall quality and completeness of patient medical records.
Pulls data from multiple sources to produce reports related to ambulatory clinical documentation, quality, and value-based care.
Collaborates with quality and multidisciplinary teams to develop strategies for improving clinical documentation quality and patient risk adjustment.
Communicates professionally with providers, practice staff, quality leaders, medical directors, and compliance specialists.
Leads and collaborates on special projects around quality metrics with leadership, practices, and stakeholders.
Provides education to providers and staff regarding value-based care and the importance of accurate, specific, and complete clinical documentation.
Participates in meetings, committees, and educational programs as needed and performs other duties as assigned.
Knowledge of chronic and acute disease conditions, management, and treatment.
Knowledge of value-based care and care gap closure.
Understanding of healthcare and clinical operations, medical terminology, and medical reporting.
Ability to communicate effectively with providers and collaborate with professional colleagues.
Ability to interpret, adapt, and apply guidelines and procedures.
Excellent verbal and written communication skills.
Strong organizational, problem-solving, critical thinking, multitasking, and independent work skills.
Ability to work in multiple systems, extract data, and create reports.
Adaptability and flexibility in a fast-paced environment.
Strong computer skills, including experience with EMR, Microsoft Office, and reporting software.
Preferred: knowledge of data analysis and statistical methods.
Preferred: comprehensive knowledge of value-based care.
Preferred: expertise in coding and documentation.
Required experience: 3+ years in a healthcare system or medical practice.
Required certifications: Certified Billing and Coding Specialist (CBCS).
Also required: one of CMA, CMAC, RMA, NCMA, CCMA, or NRCMA.
Also required: one of CRC, CPC, COC, or LPN.
Benefits from Day One: Medical, dental, vision, life, and disability insurance.
Paid time off from Day One.
403(b) retirement plan.
4 weeks of 100% paid parental leave.
Career development opportunities.
Whole person well-being resources.
Mental health resources and support.
Pet benefits.
Location
Florida, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
3 weeks ago