Op Cdi Specialist - Philadelphia, United States - Guidehealth

Guidehealth

Verified Company

Philadelphia, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

WHO IS GUIDEHEALTH?

At Guidehealth, our mission is to enhance healthcare affordability for patients and restore the fulfillment of practicing medicine for providers.

As a physician-led company, we recognize that streamlining administrative tasks and harnessing the power of predictive analytics and AI enable our partner physician practices prioritizing delivering high-quality healthcare focused on outcomes and value.

Driven by empathy, we empower physicians to anticipate the needs of patients requiring more attention, strengthen connections between patients and physicians with virtually-embedded Healthguides, and leverage AI and analytics to proactively avoid preventable events.

This approach results in increased levels of patient and practice engagement, ultimately leading to more significant positive impacts on patients.

Join us as we put healthcare on a better path

WHAT YOU'LL BE DOING

Working in conjunction with other departments to include Provider Relations, Quality as well as the Medical Director to ensure compliance of CMS risk adjustments guidelines are met
Analyzing MRA data to identify patterns and development of interventions/education at the provider level to coordinate an educational work plan for providers
Conducting provider education and training regarding risk adjustment to help to ensure accurate and complete coding is achieved
Ensuring compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment and Quality
Coordinating and facilitating risk adjustment education and training using a wide variety of methods and media to deliver content, including printed materials and technical reports, power point presentations, teleconference and videoconference platforms
Promoting efforts to improve provider compliance with CMS requirements
Collaborating with other departments to enhance the total provider experience
Providing clear, concise and professional communication to varying audiences depending on the project and its goals
Delivering content professionally and customize to specific audiences
Working on additional risk adjustment audit requests
Assisting in the development and identification of training focus areas that support documentation improvement
Performing quality assurance auditing
Complying with all policies and standard

WHAT YOU'LL NEED

3 years of experience in risk adjustment coding
2 years of experience in physician/provider education
Certified through the American Academy of Professional Coders (AAPC) or equivalent.
CPC (required)
CRC (required)
Strong understanding of primary care coding, workflows, and industry struggles/standards
Technology diversity in EHR (Epic, Cerner highly desired)
Technology agileCoding Platforms, AI Tools, and Analytics
Adheres to a moral and ethical framework in approaching work and servicing clients
Ability to work independently but also as part of a team environment
Selfmotivated, highly organized, and detailed oriented
Excellent time management and ability to work on multiple projects simultaneously while monitoring deadlines and identifying resource conflicts
Ability to establish and maintain effective working relationships with employees, clients, and vendors (to the extent applicable).

WHAT WE'D LOVE FOR YOU TO HAVE

CDEO (preferred)
RN/LPN (preferred)

COMPENSATION
Guidehealth's compensation structure includes more than just base salary.

We believe in providing world-class benefits including comprehensive medical, dental, and vision plans, long and short-term disability, life insurance, and a 401k plan with a generous match.

Our paid time off program includes paid holidays and flexible time that focuses on meeting the demands of the position and our clients, while providing the balance that our employees need.

The base pay range for this role is between $78,000.00 and $88,000.00 per year paid bi-weekly per our standard payroll practices.

Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to:
skill set, years of relevant experience, education, location, and licensure/certifications.

OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT
Diversity, inclusion, and belonging are at the core of Guidehealth's values. We are an equal opportunity employer.

We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances.

Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, pla