Clinical & Coding Specialist - Senior responsible for reviewing coding and clinical decisions for complex cases. Supporting team training and audit processes at Independent Health in Buffalo, NY.
About the role
- Medical Coding Educator improving documentation and coding education for healthcare providers. Collaborating on reports and presentations while using data analytics for quality improvement.
Responsibilities
- Identify opportunities to improve provider documentation and create an education plan tailored to each assigned provider
- Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements
- Identify educational needs based on reports
- Prepare comprehensive reports and presentations on coding quality trends and risk areas
- Collaborate with other market provider-facing roles
- Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with standards
- Analyze coding audit results to develop data-driven educational materials
- Participate in cross-functional teams to improve documentation and workflow processes
Requirements
- AHIMA or AAPC CPC (Certified Professional Coder) Certification
- 3 or more years of medical coding education and / or auditing in a healthcare setting experience
- Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets
- Experience speaking with leadership, public speaking and/or presentation skills with healthcare providers
- Risk Adjustment knowledge
- Familiar with coding guidelines
- Bachelor's Degree preferred
- CRC -Certified Risk Adjustment Coder encouraged
- Strong knowledge of all Microsoft Office applications
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance
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