Job Summary:
The HCC/Risk Adjustment Coding Specialist serves as the subject matter expert on HCC scoring and risk Adjustment Coding. As such, this team member leads risk adjustment improvement efforts and facilitates the comprehensive capture of chronic conditions for the purpose of accurately reporting HCCs. Improvement efforts will include providing education to physicians and Advanced Practice Providers (APPs), along with other staff via 1:1 in-person meetings, webinars, and/or classroom training sessions (60-70% of position workload).
Essential Responsibilities:
- Develops tools and resources for education of clinicians and other staff as a part of improvement efforts.
- Collaborates with revenue cycle, quality, regional directors, practice managers, executive leaders, and other stakeholders to facilitate improvement and developing action plans.
- Demonstrates analytical and problem-solving skills to identify opportunities for improvement by conducting 1:1 in person meetings, webinars, and/or classroom training sessions (60 to 70% of position workload).
- Participates in the onboarding of new providers and clinical staff, educating on risk Adjustment Coding.
- Maintains a high level of competency related to clinical documentation and coding and government regulations.
- Possesses a strong work ethic, with demonstrated ability to work independently or collaboratively as part of a team with multiple priorities and deadline constraints.
- Participate in departmental projects in order to enhance efficiency, systems, education, patient care, or personal growth.
- Participates in special projects and completes other duties as assigned.