Clinical Documentation Specialist

December 12

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Advantmed

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Consulting, Analytics, Gap Closure, CMS Star Ratings • Medicare Commercial Medicaid Risk Adjustment Coding Abstraction HHS HIX • Record Retrieval, Provider Education, Member Outreach • Clinical & Quality Outcomes, QRS, NCQA HEDIS

1001 - 5000 employees

Founded 2005

⚕️ Healthcare Insurance

☁️ SaaS

🏢 Enterprise

💰 Venture Round on 2016-12

Description

• ABOUT ADVANTMED • Advantmed is a leading provider of risk adjustment, quality improvement, and value-based solutions to health plans and providers. • This role will be assisting the Nurse Practitioner Process Trainers of various task to ensure NP are assessment ready to see members in the field. • Assisting with development of PowerPoints of NP accuracy. • Providing queries feedback to NPs- coaching. • Assist with creating content newsletters for NPs. • Assist with Escalations until transition to Offshore. • Assist in answering documentation questions related to coding. • Communicate with Admin team member of those NPs that did not attend the de-brief and make sure the next invite is shared with NPs. • Onboarding follow up: calling the NPs to touch-base to see how things are going. • Facilitate pilot requested by the trainers. • Assist Manager with SOP Creation/documentation. • Conduct NP interviews daily. • Review resume along with initial interview from HR (de-brief).

Requirements

• 2+ years training experience, preferred. • Knowledgeable in Risk adjustment coding both commercial and Medicare. • CPC or CRC credential required. Would also consider RN, LPN with coding background. • Proficient in MS Office programs (Word, Excel, Outlook, and Power Point) • Strong written and oral communication, interpersonal skills • Ability to work both independently and collaboratively in a team environment.

Benefits

• Health, Dental, Vision insurance after 30 days • 401k • PTO • Others