HCC Coder Educator – Dallas / Fort Worth, TX (HIRING NOW)

Job Title: HCC Provider Educator

Location for Hire: Dallas/Fort Worth, TX

Exempt Status: Non-Exempt

Division: Coding

Reports to: Manager, Coding

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

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Review and analyze provider documentation, with an eye toward compliance with CMS rules and regulations, to capture risk adjusting (HCC) diagnoses.
  • Create an education plan for each assigned provider based on their specific needs 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.

 

QUALIFICATION REQUIREMENTS:

  • 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 NextGen.
  • Basic understanding of project management methodologies and key terms.
  • Proficient in Microsoft Office (intermediate Excel, Word, PowerPoint) and computer functions including exporting documents.
  • 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.
  • Some travel required. At times travel within a 30-50 mile radius is expected.
  • 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.

 

EDUCATION:  

  • 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.

 

PHYSICAL REQUIREMENTS:

While performing the duties of this job, the employee is frequently required to stand, walk, sit and lift. The employee must lift, carry and/or move medical records weighing up to 10 pounds. The Employee must have the ability to engage in repetitive motions such as utilizing a computer and reviewing medical records. Specific vision abilities required by this job include color vision. Requires prolonged sitting, some bending, stooping and stretching, requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports.

 

EEO POLICY STATEMENT:

Episource, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Episource, LLC complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation, and training.

Episource, LLC expressly prohibits any form of unlawful employee harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Episource, LLC employees to perform their expected job duties is absolutely not tolerated.