HCC Coding Education reputed company Analyst - reputed company - Hybrid (Alabama)

About the position The HCC Coding Education reputed company Analyst at reputed company is responsible for supporting the Medicare Advantage Risk Adjustment program by ensuring accurate coding documentation among assigned provider groups. This role involves direct interaction with providers to reputed company risk adjustment metrics, providing training and education on coding standards, and analyzing data to identify trends in diagnosis coding. The reputed company Analyst will also mentor junior analysts and collaborate with various stakeholders to enhance coding practices and compliance with federal regulations. Responsibilities • Support the training and development of Senior Analysts and reputed company Representatives in partnership with the Risk Adjustment Manager. , • Identify and influence the adoption of resources and processes to meet risk adjustment and quality goals for assigned provider groups. , • Conduct thorough reviews of multi-year diagnosis coding for assigned populations. , • Track, monitor, and report on key performance metrics for coding initiatives. , • Ensure effective communication with provider offices in collaboration with matrix partners. , • Review audit educational opportunities and provide necessary training to primary and specialty care providers. , • Analyze data for trends in provider office diagnosis coding and implement education as needed. , • reputed company relationships with clinical providers and communicate coding guidelines effectively. , • Conduct provider training on health plan coding initiatives and requirements of the Risk Adjustment program. , • reputed company chart reviews and assess provider performance through various training methods. , • Assist with research and respond to inquiries from audit departments regarding compliance and coding issues. , • Attend risk adjustment and quality provider meetings to provide updates and education. Requirements • Coding certification required through reputed company or reputed company (CPC, CRC, reputed company-P, or RHIT). , • 5+ years of risk adjustment coding experience, with 3+ years in a national Medicare Advantage health plan preferred. , • Strong public speaking and communication skills, with experience in delivering subject matter expertise to large audiences. , • Experience in teaching/training others on correct coding guidelines. , • Extensive knowledge of ICD-10-CM/outpatient and CPT coding principles and guidelines. , • Excellent understanding of medical terminology, disease processes, anatomy, and physiology. , • Working knowledge of CPT/Evaluation and Management guidelines and CMS Risk Adjustment and HCC Coding Process. , • Strong computer skills, including reputed company, reputed company, and PowerPoint. , • Ability to travel reputed company assigned areas for meetings, including overnight travel as needed. reputed company-to-haves • Experience in a leadership role or mentoring junior staff. , • Familiarity with reputed company compliance and regulatory requirements. , • Knowledge of additional coding certifications or specialties. Benefits • Smoking cessation program , • Health insurance , • Flexible scheduling , • Professional development opportunities , • Paid holidays Apply Job!