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MRA Coding Compliance Auditor/Educator - Las Vegas, NV

Company: P3 Health Group Management, LLC
Location: Henderson
Posted on: November 20, 2022

Job Description:

People. Passion. Purpose. P3 Health Partners is committed to ensuring the health and safety of our team members, patients and communities we serve. As a part of this commitment, all candidates must receive their COVID-19 vaccine prior to joining the team. If you have any questions about our interview and hiring procedures, please contact PeopleServices@p3hp.org. At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients. We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance. We are looking for a Coding Compliance Auditor/Educator for Medicare Risk Adjustment (MRA). If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing national organization based in Las Vegas, NV, then consider joining our team!MRA Coding Compliance Auditor/EducatorOverall Purpose: This role will assist with the training curricula and materials for his/her assigned markets to ensure complete and accurate coding compliance with proper medical record documentation. This position will support participating providers and their care teams to accurately and completely report their services through customized training presentations specific to their needs. Coding audit findings, industry updates and common medical documentation issues will be incorporated in training programming.The Coding Compliance Auditor/Educator will provide tools to allow for greater meaningful information exchange to allow providers to identify potential new clinical conditions early, reinforce self-care and prevention strategies, coordinate care, improve overall patient outcomes and office practice workflow patterns to optimize communication amongst the patient's care team.his position will be responsible for effectively training clinical documentation skills for complete reporting of medical diagnoses to build and accurate health profile for each individual patient.Education and Experience:--- Successful completion of Coding Certificate program from an accredited organization (i.e. CPC, CRC, CPMA from AAPC, or CCS, CCS-P from AHIMA), with 3-5 years of professional coding experience--- Two years of public speaking, talent development and/or training experience--- Direct experience in understanding and implementing Medicare Risk Adjustment (HCC) coding compliance rules and regulations--- Experienced with effective physician/provider collaborative training to support workflow adjustments to improve clinical coding qualifyKnowledge, Skills and Abilities:--- Demonstrate high-level expertise in understanding Medicare Advantage insurance carrier rules and regulations, and the ability to manage ongoing change, and think creatively--- Thorough knowledge of government regulations relating to medical records documentation and reimbursement including Medicare, Medicaid and other industry billing standards--- Leadership skills including: setting the example, motivating the team to be high performers, customer service-oriented, taking the initiative to achieve the outcome--- Superior skills in Microsoft Office (primarily excel and power point)--- Must possess solid analytical, problem-solving, planning, communication, documentation, and organizational skills with meticulous attention to detail--- Ability to manage multiple tasks and projects, and forge strong interpersonal relationships within the department, with other departments, and with external audiences--- Ability to monitor project progress and communicate results to the MRA team, vendor partners and senior management as needed--- Ability to re-engineer processes to positively impact productivity in terms of timeliness and accuracy required--- Ability to analyze, interpret and communicate recommendations to MRA team, vendor partners and senior management--- Ability to communicate clearly and effectively both orally and in writing requiredEssential Functions:--- Build relationships with internal and external customers, providing superior customer service while managing expectations--- Assist in maintaining the MRA operational goals and metrics, in support of the department's and organization's strategy--- Collaborate with other organizational leaders to identify emerging needs and rally around solutions--- Develop and maintain working relationships with our Clinic Partners, including providers and their support staff --- Meet deadlines and turnaround times set by managers and department director--- Ability to work with multiple internal and external partners at various levels of the organization--- Strong aptitude for quickly troubleshooting and identifying the cause of questionable results within extracts and reports.EQUAL OPPORTUNITY EMPLOYERWe're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.DIVERSITY & INCLUSION At P3, we recognize and appreciate the importance of creating an environment in which all team members feel valued, included, and empowered to do their best work and bring great ideas to the tableEvery P3 family member's unique experiences, perspectives, and viewpoints are valued and support our ability to deliver the best possible experience for our patients, providers, payers, partners, and each other.Powered by JazzHR

Keywords: P3 Health Group Management, LLC, Henderson , MRA Coding Compliance Auditor/Educator - Las Vegas, NV, Other , Henderson, Nevada

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