Clinical Documentation Educator
About Our Company
We're a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.
Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.
When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.
Job Description
As a Clinical Documentation Educator, you will be accountable for ensuring providers are documenting and coding conditions in accordance to the VMD standard. The goal of the role will be to oversee provider education and subsequently improve documentation accuracy across HCC coding.
The Clinical Documentation and Coding Accuracy Educator will review performance metrics and reports, as well as patient charts, to identify areas of opportunity to support coding accuracy and effective documentation practices. He/she will educate all primary care providers, physicians and advanced practice practitioners, and other clinical staff on a process for improving coding accuracy performance, proper documentation and general coding practices.
This is a Remote Opportunity with 20% travel required.
How you can make a difference
Education
Create new and/or utilize existing educational presentations to effectively convey clinical documentation and diagnosis coding concepts.
Evaluate Provider performance and develop customized education plans based on documentation trends.
Collaborate with market leadership to assess educational opportunities and develop education strategies for assigned markets and providers.
Create educational plans that align with organizational goals and initiatives regarding clinical documentation and risk adjustment coding.
Lead individual and group education sessions on clinical documentation and risk adjustment reporting practices for Providers and staff consistent with industry standards and in compliance with coding guidelines.
Monitor and track success of education and provider feedback to ensure documentation meets requirements for diagnosis assignment based on ICD-10, risk adjustment, and internal reporting guidelines.
Effectively communicate and implement new coding education and initiatives with providers, including the appropriate change management support to ensure successful adoption.
Operations
Identify provider education opportunities for improving diagnosis coding accuracy through analyzing medical records and data analytics reports.
Prepare written reports of audit findings to present to management, providers, or other parties.
Special review projects as assigned for analytics.
Collaborate with local market risk operations leader to complete provider education activities including 1:
1 education, clinic education and all supporting provider education activities.
Participate in the development of new workflows, efficiencies, and best-in-class clinical documentation tools to support VillageMD value-based care and risk adjustment accuracy.
Compliance Support
Demonstrate the ability to appropriately apply coding principles that comply with CMS regulations, ICD-10 guidelines and internal guidelines and policies.
Work with market leadership to understand what payor audit/documentation requests require compliance review.
Direct and timely provider remediation response to compliance audit plan results
Skills for success
Strong clinical knowledge of disease pathology and ability to identify clinical indicators related to chronic disease.
Experience in creating effective training materials and presentations (PowerPoint, Adobe, etc).
Self-motivated:
energetic, self-starter; can work autonomously with limited direction
Results-oriented:
bias for action; demonstrated track record of achievement; drive for attainment of superior outcomes.
Flexible:
ably navigates within ambiguity; solution-oriented
Analytical:
strong research, writing, analytical, and critical reasoning skills
Communication:
conveys thoughts and expresses ideas concisely and effectively both verbally and in writing; strong presentation skills
Collaboration:
orientation to team-based work product and results, open to change and process enhancement
Leadership:
develop and nurture teams; successfully achieve results through others
Humility:
low ego; engenders trust; respectful
Experience to drive change
Professional Coding Certification (CCS, CPC) Plus CRC certification required
A minimum of 5 years of experience in risk adjustment coding
A minimum of 5 years of experience in coding and/or clinical documentation education
Knowledge and Understanding of HEDIS quality measures preferred
Experience in a large, independent clinic organization or the ambulatory environment of a hospital or integrated delivery system (Primary Care Practice highly preferred)
Familiarity with Electronic Health Records documentation methodologies
Demonstrated achievement with change management and quality improvement initiatives.
Proven success in building relationships and establishing credibility with doctors, nurses and other clinical staff.
Exceptional communication skills
High level of emotional intelligence
Ability to navigate resistance to change and solve problems effectively.
Ability to travel across assigned market(s) or region(s) 20%
About Our Commitment
Total Rewards at VillageMD
Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD's benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.
Equal Opportunity Employer
Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.
Safety Disclaimer
Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https:
//www.consumer.ftc.gov/JobScams or file a complaint at https:
//www.ftccomplaintassistant.gov/.Estimated Salary: $20 to $28 per hour based on qualifications.
We're a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.
Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.
When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.
Job Description
As a Clinical Documentation Educator, you will be accountable for ensuring providers are documenting and coding conditions in accordance to the VMD standard. The goal of the role will be to oversee provider education and subsequently improve documentation accuracy across HCC coding.
The Clinical Documentation and Coding Accuracy Educator will review performance metrics and reports, as well as patient charts, to identify areas of opportunity to support coding accuracy and effective documentation practices. He/she will educate all primary care providers, physicians and advanced practice practitioners, and other clinical staff on a process for improving coding accuracy performance, proper documentation and general coding practices.
This is a Remote Opportunity with 20% travel required.
How you can make a difference
Education
Create new and/or utilize existing educational presentations to effectively convey clinical documentation and diagnosis coding concepts.
Evaluate Provider performance and develop customized education plans based on documentation trends.
Collaborate with market leadership to assess educational opportunities and develop education strategies for assigned markets and providers.
Create educational plans that align with organizational goals and initiatives regarding clinical documentation and risk adjustment coding.
Lead individual and group education sessions on clinical documentation and risk adjustment reporting practices for Providers and staff consistent with industry standards and in compliance with coding guidelines.
Monitor and track success of education and provider feedback to ensure documentation meets requirements for diagnosis assignment based on ICD-10, risk adjustment, and internal reporting guidelines.
Effectively communicate and implement new coding education and initiatives with providers, including the appropriate change management support to ensure successful adoption.
Operations
Identify provider education opportunities for improving diagnosis coding accuracy through analyzing medical records and data analytics reports.
Prepare written reports of audit findings to present to management, providers, or other parties.
Special review projects as assigned for analytics.
Collaborate with local market risk operations leader to complete provider education activities including 1:
1 education, clinic education and all supporting provider education activities.
Participate in the development of new workflows, efficiencies, and best-in-class clinical documentation tools to support VillageMD value-based care and risk adjustment accuracy.
Compliance Support
Demonstrate the ability to appropriately apply coding principles that comply with CMS regulations, ICD-10 guidelines and internal guidelines and policies.
Work with market leadership to understand what payor audit/documentation requests require compliance review.
Direct and timely provider remediation response to compliance audit plan results
Skills for success
Strong clinical knowledge of disease pathology and ability to identify clinical indicators related to chronic disease.
Experience in creating effective training materials and presentations (PowerPoint, Adobe, etc).
Self-motivated:
energetic, self-starter; can work autonomously with limited direction
Results-oriented:
bias for action; demonstrated track record of achievement; drive for attainment of superior outcomes.
Flexible:
ably navigates within ambiguity; solution-oriented
Analytical:
strong research, writing, analytical, and critical reasoning skills
Communication:
conveys thoughts and expresses ideas concisely and effectively both verbally and in writing; strong presentation skills
Collaboration:
orientation to team-based work product and results, open to change and process enhancement
Leadership:
develop and nurture teams; successfully achieve results through others
Humility:
low ego; engenders trust; respectful
Experience to drive change
Professional Coding Certification (CCS, CPC) Plus CRC certification required
A minimum of 5 years of experience in risk adjustment coding
A minimum of 5 years of experience in coding and/or clinical documentation education
Knowledge and Understanding of HEDIS quality measures preferred
Experience in a large, independent clinic organization or the ambulatory environment of a hospital or integrated delivery system (Primary Care Practice highly preferred)
Familiarity with Electronic Health Records documentation methodologies
Demonstrated achievement with change management and quality improvement initiatives.
Proven success in building relationships and establishing credibility with doctors, nurses and other clinical staff.
Exceptional communication skills
High level of emotional intelligence
Ability to navigate resistance to change and solve problems effectively.
Ability to travel across assigned market(s) or region(s) 20%
About Our Commitment
Total Rewards at VillageMD
Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD's benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.
Equal Opportunity Employer
Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.
Safety Disclaimer
Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https:
//www.consumer.ftc.gov/JobScams or file a complaint at https:
//www.ftccomplaintassistant.gov/.Estimated Salary: $20 to $28 per hour based on qualifications.
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