EHR & Coding Transformation Specialist (Travel)

Palm Beach Accountable Care Organization; New Jersey; Presencial; USD 70.000 - 100.000; Jornada completa

Descripción de la vacante

Palm Beach Accountable Care Organization is seeking a Healthcare Practice Transformation Specialist to bridge physician practices with our organization. The role blends EHR training, coding review, risk adjustment, and billing support.

The ideal candidate is a CPC with Medicare risk adjustment and healthcare analytics experience, capable of training staff and driving compliant documentation. Expect 50–75% local travel and collaboration across care networks.

Formación

• Certified Professional Coder (CPC) with strong experience in Medicare risk adjustment.
• Experience with Medicare Advantage (MA) plans, risk adjustment, or insurance companies.
• 2+ years of medical coding, billing, or risk adjustment experience.
• Proficiency in EHR systems (Athena, eClinicalWorks, or similar) and MS Office.
• High school diploma or GED; associate/bachelor preferred.
• Excellent communication and training skills for working directly with providers and staff.

Responsabilidades

• Manage and support a physician network to ensure successful EHR integration and troubleshooting.
• Consult with medical practices to analyze workflows, configure EHR systems, and develop training plans.
• Train physicians and office staff on EHR best practices, regulatory compliance, and specialty-specific workflows.
• Review clinical documentation and medical records to ensure accurate ICD-10, CPT, and HCPCS coding for risk adjustment and quality gap closure.
• Conduct coding audits and provide education to providers on compliant documentation.
• Monitor payer guidelines and coding updates, especially for Medicare Advantage and accountable care organizations.
• Assist with billing, claims submission, payment posting, and collections as needed.
• Perform financial analysis and reporting using Microsoft Excel (pivot tables, trend analysis).
• Analyze denial reports, identify trends, and recommend corrective actions.
• Support quality improvement initiatives by ensuring accurate coding for chronic conditions.
• Answer patient billing and claims questions in a professional and clear manner.
• Maintain compliance with HIPAA, coding regulations, and company policies.
• Participate in special projects, audits, and continuous process improvement initiatives.

Conocimientos

CPC certification

EHR training

Regulatory compliance

Communication skills

Excel proficiency

Healthcare analytics

Educación

High school diploma or GED

Associate/Bachelor's degree preferred

Herramientas

Athena

eClinicalWorks

MS Office Suite

Descripción del empleo

Palm Beach Accountable Care Organization is seeking a Healthcare Practice Transformation Specialist to bridge physician practices with our organization. The role blends EHR training, coding review, risk adjustment, and billing support.

The ideal candidate is a CPC with Medicare risk adjustment and healthcare analytics experience, capable of training staff and driving compliant documentation. Expect 50–75% local travel and collaboration across care networks.