风险调整编码员-2
Risk Adjustment Coder-2
在Memorial Hermann，我们致力于实现一个共同目标：提供高质量、高效的护理，同时为我们的社区每一位成员创造非凡的体验。当我们说“每一位社区成员”，这包括我们的员工。我们知道，当员工感受到关怀、被倾听和被重视时，他们就会受到激励，创造出超越期望的时刻，同时优先考虑安全、同理心、个性化和效率。如果您希望提升自己的职业生涯，并为我们的愿景做出贡献，即为现在和未来几代人创造更健康的社区，我们希望您成为我们的团队一员。
职位概述
负责向医生和助理提供关于门诊程序和诊断编码的准确、可靠和有效的教育。该职位进行个人和团体文档审查，识别改进机会，协助实施由医生主导的CME文档和编码课程，并与医生领导和其他资源协调，开发和提供教育项目。现任人员将提供其编码专业知识，以帮助更好地教育医生和工作人员，使编码程序更准确地满足计费合规要求。
职位描述
最低资格要求
教育：需要专科学位；没有学位的情况下，需具备至少两年的门诊医生文档和风险调整方面的渐进式经验；本科学位优先
执照/认证：需要以下执照之一：
- 注册编码专家（CCS），或
- 注册专业编码员（CPC），或
- 注册编码专家-基于医生（CCS-P），或
- 临床文档专家（CDEO），或
- 注册风险调整编码员（CRAC），或
- 注册专业医疗审计师（CPMA），或
- 注册编码助理（CCA）
经验/知识/技能：
- 在门诊医生文档和风险调整方面有五年渐进式经验，且至少两年在多专科实践环境中
- 精通ICD-10、CPT、HCPCS、合规性和编码要求。需要HCC风险调整经验
- 精通风险因素计算
- 拥有计算机技能、操作系统和电子病历系统（EMR）
- 展现出高水平的组织和规划能力，能够独立工作
- 需要具备出色的观察力、分析思维和问题解决能力
查看英文原文
At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.
Job Summary
Responsible for providing accurate, reliable and effective education to physicians and extenders regarding outpatient procedural and diagnosis coding. This position performs individual and group documentation reviews, identifies opportunities for improvement, assists with implementation of physician lead CME documentation and coding courses and coordinates with physician leadership and other resources to develop and deliver educational programming. The incumbent will provide their coding expertise to help better educate physicians and support staff in coding procedures that more accurately meet billing compliance requirements.Job Description
Minimum Qualifications
Education: Associates degree required; in lieu of degree, minimum of two (2) years of progressive experience in outpatient physician documentation and Risk Adjustment; Bachelor’s degree preferred
Licenses/Certifications: One of the following licenses is required:
- Certified Coding Specialist (CCS), or
- Certified Professional Coder (CPC), or
- Certified Coding Specialist-Physician Based (CCS-P), or
- Clinical Documentation Expert (CDEO), or
- Certified Risk Adjustment Coder (CRAC), or
- Certified Professional Medical Auditor (CPMA), or
- Certified Coding Associate (CCA)
Experience / Knowledge / Skills:
- Five (5) years of progressive experience in outpatient physician documentation and Risk Adjustment and a minimum of two (2) years specifically in a multi-specialty practice environment.
- Advanced working knowledge of ICD-10, CPT, HCPCs, compliance and coding requirement. HCC Risk Adjustment experience required
- Expertise in risk factor calculations
- Possess computer skills, operating systems and EMRs
- Demonstrate a high level of organizational and planning skills with the ability to work independently
- Requires excellent observation skills, analytical thinking, problem solving and possess superior verbal and written communication skills with the ability to adapt style and tone according to situation and audience
- Experience in adult learning principles to be able to provide adult education and training
Principal Accountabilities
- Provides documentation and coding education to physician and their support staffing virtually or in their designated clinics.
- Conducts research to update education materials for providers.
- Interprets changes in external regulatory environment and coding updates.
- Plans and conducts on-going training with providers and support staff.
- Provides coding expertise and serves as subject matter expert to respond questions from providers, office staff and others relating to procedural coding and ICD-10 coding, regulations and documentation requirements.
- Maintains project work list and meets deadlines.
- Seeks appropriate physician input if required information is missing or unclear.
- Maintains current knowledge of outpatient coding. Follows coding compliance guidelines, official coding guidelines, regulatory requirement and internal policies and procedures affecting the coding process.
- Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
- Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
- Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
- Other duties as assigned.
Originally posted on Himalayas