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Clinical Risk Educator
Aledade, Inc.
full-time
Posted on:
Location Type: Remote
Location: Remote • South Carolina • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Conduct educational sessions for Aledade ACO member practices and their key staff on clinical documentation and risk concepts, delivered either in person or virtually.
- Serve as an individual contributor on the Risk Education team, collaborating with team members to develop and update educational materials related to clinical documentation, coding and billing for both internal and external audiences. Conduct ongoing annual reviews of repository content to ensure alignment with CMS regulatory updates.
- Analyze clinical process measures and outcome data, informed by CDI chart reviews, market performance, and field team input, to identify knowledge gaps and opportunities. Address and clarify missing, unclear, conflicting, or non-compliant information captured by the CDIS, providing clear explanations and guidance to clinicians.
- Research, investigate and remain up to date on both clinical and coding guidelines as they relate to clinician documentation improvement.
- Serve as a resource for appropriate clinical documentation and coding practices for assigned Regional Market.
Requirements
- Bachelor’s degree in a healthcare related field or equivalent work experience required
- 5+ years of clinical experience
- Current medical coding certification such as Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Expert Outpatient (CDEO), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), etc. through AAPC, ACDIS, or AHIMA
- 2+ years of clinical documentation improvement experience
- Extensive knowledge of ICD-10-CM, HCPCS and CPT coding, medical terminology, human anatomy and physiology, clinical indicators associated with disease processes and pharmacology is required
- Subject matter expertise on the CMS HCC Risk Adjustment program, methodology, and impact to value-based contracts
- Comfortable presenting to large and small groups in person and in virtual format (Google Meet, Zoom, etc.)
- Ability to work both independently and collaboratively
- Flexible and able to multi-task and prioritize work load on a daily basis
- Availability for market-specific events, including the execution of 1-2 Saturday events per year in select markets
- Flexibility to work occasional evening hours, with the potential for 1-2 evenings per month on a national scale
Benefits
- Flexible work schedules and the ability to work remotely are available for many roles
- Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
- Robust time-off plan (21 days of PTO in your first year)
- Two paid volunteer days and 11 paid holidays
- 12 weeks paid parental leave for all new parents
- Six weeks paid sabbatical after six years of service
- Educational Assistant Program and Clinical Employee Reimbursement Program
- 401(k) with up to 4% match
- Stock options
- And much more!
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical documentationcodingbillingICD-10-CMHCPCSCPT codingmedical terminologyhuman anatomyclinical indicatorspharmacology
Soft skills
presentation skillscollaborationindependenceflexibilitymulti-taskingprioritizationcommunication
Certifications
Certified Professional Coder (CPC)Certified Coding Specialist - Physician-based (CCS-P)Certified Risk Adjustment Coder (CRC)Certified Clinical Documentation Specialist (CCDS)Certified Documentation Expert Outpatient (CDEO)Certified Clinical Documentation Specialist-Outpatient (CCDS-O)
