HCC Provider Educator
at RCM Health Care Services

Date Posted: 8/7/2018

Job Description

SUMMARY: This is a temporary non-exempt, hourly, position. Performs medical record review and provider education based upon findings.

  • Review and analysis of provider documentation, with an eye toward compliance with CMS rules and regulations and capture of risk adjusting (HCC) diagnoses
  • Devise a plan of education for each assigned provider to address discrepancies or inadequacies identified in documentation.
  • Educate the provider in a face-to-face, one-on-one environment on an ongoing basis.
  • Travel to offices to meet with providers
  • Complete records/logs of provider education sessions and the topics discussed
  • Work with provider offices to schedule appointments when the provider is available
  • Build a long-term rapport with assigned offices/providers
  • Additional duties as necessary to meet the obligations of our clients
  • A valid driver's license and insurance/liability policy in the employee's name is mandatory in applicable cities/states when a motor vehicle is necessary for the position. Management will notify such employees when applicable.

  • Experienced medical coder with strong knowledge of Medicare Risk Adjustment (HCC) coding
  • Possess at least one of the following professional certifications: CPC, CRC, CCS, CCS-P, RHIT, RHIA.
  • Strong communication skills; able to interact with physicians and other clinicians on a professional level
  • In-depth knowledge of ICD-10-CM diagnostic coding in the Medicare Risk Adjustment environment
  • Four years minimum experience with HCC coding; 5+ years preferred
  • Minimum 3 years of strong office/customer service administration experience required
  • Familiarity with common electronic medical record applications such as Epic
  • Basic understanding of project management methodologies and key terms
  • Must have excellent time management skills, be highly organized, self-motivated
  • Maintain a high level of productivity and confidentiality
  • Excellent customer service, problem solving skills and attention to detail
  • The ability to follow through timely on tasks is essential
  • Possess excellent written, verbal, and interpersonal communication skills
  • Team oriented and leadership skills
  • Must possess initiative; tact; poise; neat personal appearance; physical condition commensurate with the requirements of the position
  • Travel required. At times, travel within a 30-50 mile radius is expected

  • HS Diploma/GED required; preferred AA or higher degree or equivalent job related experience
  • Coding certifications as noted above: CPC, CRC, CCS, CCS-P, RHIT, RHIA.
  • CPMA and/or CPC-I credentials are a bonus.
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Job Snapshot

About Us

RCM Health Care Services offers career defining opportunities to candidates from the leading employers in health care. Whether you’re looking for a new job or seeking to hire the best medical talent, RCM Health Care Services has the solution for you. Since 1975, we’ve established ourselves as a leader in the recruitment industry by connecting thousands of healthcare professionals with placements that support their needs. If you’re looking to make the next move in your career, let RCM be your guide, we’re with you every step of the way!

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