Wellvana Integration Partners, LLC - Accurate Clinical Documentation Provider Educator
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Accurate Clinical Documentation Provider Educator
Wellvana Integration Partners, LLC
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Accurate Clinical Documentation Provider Educator
Remote Worker - N/A
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Description
The Wellvana Why:
The healthcare system isn’t designed for health. We’re designed to change that. We’re Wellvana, and we help doctors deliver life-changing healthcare.
Through our elevated value-based care programs, we’re revitalizing an antiquated system that’s far too long relied on misaligned incentives that reward quantity of care not the quality of it.
Our enlightened approach—covering everything from care coordination to clinical documentation education to marketing— ties the healthy outcomes of patients directly to shared savings for primary care providers, health systems and payors.
Providers in our curated network keep their independence, reduce their administrative headaches, and spend more time with patients. Patients, in turn, get an elevated experience with coordinated care between appointments that is nothing short of life-changing.
Named a 2024 "Best in Business" and 2023 "Best Place to Work" by Nashville Business Journal, we’re one of the fastest-growing healthcare companies in America because what we do works. This is the way medicine is meant to be.
Clarity on the Role:
The Accurate Clinical Documentation Provider Educator partners with Wellvana affiliated practices and health systems on all aspects of risk adjustment coding, regulatory requirements, and proper documentation procedures for attributed patients in Medicare Advantage, MSSP, and ACO LEAD programs.
The Accurate Clinical Documentation Provider Educator is responsible for reviewing clinical data and patient documentation to validate and support accurate diagnosis capture in advance of in-office physician visits. This role focuses on delivering personalized feedback to individual providers and practices, identifying coding trends and documentation patterns through audits and data analysis, and driving continuous improvement in documentation quality.
The Accurate Clinical Documentation Provider Educator effectively communicates and implements coding education initiatives, partnering with providers to ensure understanding and compliance. This role also supports change management efforts to promote successful adoption of documentation and coding best practices across the organization.
The Accurate Clinical Documentation Provider Educator must have a thorough understanding of the mechanics of risk adjustment coding and HCC Risk Adjustment Model Categorical Hierarchy and be able to communicate this knowledge effectively to physicians and their practice leaders. Maintaining a comprehensive schedule and visit log is crucial as is the documentation, and storage, of all materials utilized in practice and health system discussions. The Accurate Clinical Documentation Provider Educator is responsible for building positive relationships with assigned Physicians and serves as a key point of contact for any questions or concerns that may arise.
What's Expected:
Industry Knowledge
Thorough understanding of the industry rules and regulations and particularly the mechanics of risk adjustment coding and HCC Risk Adjustment Model Categorical Hierarchy, open condition reporting, identifying unreported conditions, readdressing open chronic conditions
Demonstrated ability to communicate this knowledge effectively to physicians and their practice leaders.
Expertise in Prospective, Retrospective, and Concurrent review processes
Organization and Initiative
Effectively coordinate and schedule visits with practices, prepare and distribute practice specific materials timely (e.g., minimum of 48 business hours in advance), conduct education sessions, document follow-ups,…