Coding & Clinical Document Educator

AdventHealth; Florida; On-site; USD 50,000 - 93,000; Full time

Benefits offered by this job

Medical, Dental, Vision insurance

Life Insurance

Disability Insurance

Paid Time Off from Day One

403(b) Retirement Plan

Parental Leave

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Job summary

AdventHealth is seeking an experienced clinical documentation/coding professional to analyze medical records for HCC accuracy and provide education to physicians and staff on precise documentation. You will act as a subject matter expert on coding practices, supporting program development and performance improvements.

The role involves collaboration with cross-functional teams, ensuring compliance with CMS guidelines and privacy regulations, and delivering data-driven insights for improved

Qualifications

• Understanding ICD-10-CM coding and CMS guidelines.
• Knowledge of medical terminology and clinical documentation requirements.
• Ability to educate providers on documentation quality and completeness.
• Experience with healthcare data and reporting.
• Strong organizational and reporting skills.

Responsibilities

• Analyze medical record documentation for HCC accuracy and educational opportunities.
• Educate physicians and providers on accurate clinical documentation.
• Serve as SME for clinical documentation and coding practices.
• Participate in program development, execution and performance.
• Recommend process improvements for coding goals and outcomes.
• Evaluate records to ensure M.E.A.T criteria support submitted codes.
• Collaborate with operational teams in a matrix environment.
• Provide guidance to Risk Adjustment Coding Specialists and teams.
• Stay current on ICD-10-CM, CMS HCC Model, and official coding guidelines.
• Contribute to compliance with privacy and data protection laws.
• Analyze data trends and report findings.

Skills

MS Office proficiency

Healthcare operations knowledge

Medical terminology

ICD-10-CM coding

Professional communication

Independent work

Problem solving

Report writing

Data analysis

Education

Technical/Vocational School in Coding

Bachelor's degree (preferred)

Job description

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Schedule: Full time

Shift: Day (United States of America)

Address: 2600 LUCIEN WAY

City: MAITLAND

State: Florida

Postal Code: 32751

Job Description:

• Analyzes medical record documentation for HCC accuracy, correct documentation, and educational opportunities.
• Provides education to physicians, advanced practice providers, and other key healthcare providers regarding the need for accurate, specific, and complete clinical documentation in the patient's medical record.
• Serves as a subject matter expert in clinical documentation and coding best practices for both internal and external partners.
• Participates actively in prospective program development, execution, and performance.
• Assists the Clinical Documentation Integrity team by making recommendations for process improvements to further enhance program coding goals and outcomes.
• Evaluates medical records to ensure Monitor, Evaluate, Assess, and Treat (M.E.A.T) criteria support the existence of submitted diagnosis codes.
• Collaborates with each operational team and their leadership in a matrix relationship.
• Provides direction and guidance to Risk Adjustment Coding Specialists and cross-functional team members within their respective clinics pertaining to Risk Adjustment.
• Maintains current knowledge of ICD-10-CM codes, CMS HCC Model and updates, CMS documentation requirements, and the Official Guidelines for Coding and Reporting, as well as state and federal regulations.
• Manages routine tasks and contributes to special project assignments to ensure ongoing compliance with federal and state privacy and data protection laws and regulations.
• Utilizes strong analytical and problem-solving skills to assess, analyze, interpret, and report data, metrics, and trends.
• Performs other duties as assigned.

Knowledge, Skills, and Abilities:

• Ability to develop, evaluate and improve workflows including ability to create process documentation. [Required]
• Knowledge of MS Office (Word, Outlook, Excel, and PowerPoint). [Required]
• Knowledge of healthcare operations. [Required]
• Knowledge and understanding of medical terminology and medical reporting. [Required]
• Strong background in ICD-10-CM coding. [Required]
• Communicate professionally in reporting results. [Required]
• Ability to interact effectively with physicians and other health care professionals. [Required]
• Able to be independent in daily work. [Required]
• Able to identify, analyze and effectively solve problems. [Required]
• Ability to prepare reports and presentations, and building/maintaining statistical spreadsheets. [Required]
• Ability to function in a high-paced environment. [Required]
• Utilize and demonstrate excellent critical thinking, problem-solving and deductive reasoning skills. [Required]
• Excellent organizational skills [Preferred]
• Excellent written and verbal English communication skills [Preferred]
• Ability to work with people of various backgrounds and maintain good interpersonal relationships with department staff, ancillary staff, providers, operations, and administration. [Preferred]

Education:

• Technical/Vocational School [Required]
• Bachelor's [Preferred]

Field of Study:

• Technical/Vocational School in Coding
• Bachelor's in a related field

Work Experience:

• 5+ years of coding experience, or experience with clinical documentation reviews and provider education [Required]

Licenses and Certifications:

• Registered Health Information Technician (RHIT) [Required] OR Certified Coding Specialist (CCS) [Required] OR Certified Risk Adjustment Coder (CRC) [Required] OR Certified Documentation Improvement Practitioner (CDIP) [Required] OR Certified Clinical Documentation Specialist-Outpatient (CCDS-O) [Required] OR Certified Clinical Documentation Specialist (CCDS) [Required] OR Certified Professional Coder (CPC) [Required]
• Physical Requirements:
  Physical Requirements - https://tinyurl.com/23km2677

Pay Range: $50,211.20 - $93,392.00

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.