Provider Educator (Foreign Medical Graduate)
Core
Provides analysis, reporting, education, and training to clinicians to promote accurate clinical documentation, coding, and risk-adjustment for women's primary care.
Role type
Provider Educator (Clinical Documentation Integrity & Risk Adjustment)
Builds
Risk-adjusted claims and high-quality clinical documentation for Medicare Advantage plans
Domain
Healthcare / Medicare Advantage / Risk Adjustment
Required skills
ICD-10-CM coding, CMS risk-adjustment, clinical documentation integrity, provider education, chart review, query management, data analysis, HIPAA compliance, presentation skills
Preferred skills
Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), experience with HCC/non-HCC conditions, experience with value-based care programs (via careerplan.io/jobs/4707398006-provider-educator-foreign-medical-graduate-at-herself-health)
Technologies
Microsoft Office, CMS-HCC V28 models
Responsibilities
Conduct pre-visit chart reviews to identify documentation and coding opportunities; Develop and deliver education on MEAT principles, ICD-10-CM coding, and risk-adjustment requirements; Perform post-visit chart validations and audits; Analyze documentation performance indicators to create individualized improvement plans; Collaborate with coding teams to address documentation concerns; Support onboarding of new clinicians with documentation standards training.