Health eCareers
Associate Director, Clinical Coding Education (RN) at CenterWell
Health eCareers, Honolulu, Hawaii, United States, 96814
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The Associate Director, Coding Education identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. The Associate Director, Coding Education requires a solid understanding of how organization capabilities interrelate across department(s).
The Clinical Education team exists to support all the Primary Care Organization’s providers, nurses, social workers, and other staff members through training and education.
This role is embedded within the clinical education team and will work closely with Coding operations team and Clinical Excellence team under the CenterWell Primary Care Organization. You will oversee training strategy and execution, training quality assurance and data analytics for provider coding training. As an education team leader, you will be the ambassador for value-based, senior care model in the primary care network.
The Associate Director, Clinical Coding Education (RN) will develop, design, and deploy the overall clinical coding curriculum to include onboarding and continuing education in collaboration with coding and clinical education team. They will collaborate with the learning team to create and deploy learning modules in addition to managing a team of role-based trainers and training facilitators. The Associate Director, Clinical Coding Education (RN) role will report to the National Director, Clinical Education, and work as a thought partner with Coding and Documentation Improvement Medical Director.
The Main Responsibilities Of The Role Are
Determine clinician coding education strategy with clinical education team and CDI (coding and documentation improvement) medical director embedded in Clinical excellence.
Align clinician coding education strategy with organizational MRA goals in working with AVP coding and AVP MRA strategy. Develop a roadmap for clinician coding education based on upcoming changes to the V28 model.
Gain buy-in for coding education strategy in working with division CMOs, clinical leaders, clinical excellence team, clinician educators.
Work closely with coding team and coder education teams to loop in performance data and input into clinician education strategy.
Develop, design, and deploy clinician coding education leveraging coding educators on your team to providers in partnership with clinician educators.
Seek feedback and secure buy-in regarding ongoing education from clinical leaders.
Develop and maintain a scorecard to assess the effectiveness of clinician coding training; socialize training data with key clinical leaders.
Supervise and develop a team of divisional coding educators (East, West, Florida) to provide clinician education in partnership with clinician educators.
This role will have a close working relationship and a dotted line to the medical director, CDI. The clinical coding educators will have dotted line relationships to clinical educators for their division.
Support other clinical education projects and programs as needed, as program or project manager.
As a team leader in National Clinical Education team, be an ambassador for the team’s work.
Use your skills to make an impact
Required Qualifications
Must possess an active RN license.
A minimum of five years’ experience in risk adjustment coding, auditing, and/or education, working with providers.
CPC (Certified Professional Coder) AHIMA or AAPC Certification required.
A minimum of three years’ experience in a clinic setting, preferably in Value-based Care space.
A minimum of two years’ experience leading large-scale projects across a matrixed organization.
A minimum of two years’ leadership experience.
Knowledge of EMR.
In-depth knowledge of risk adjustment key performance indicators.
Comprehensive knowledge of MS Word, Excel, and PowerPoint.
Preferred Qualifications
Master’s degree.
Progressive business consulting and/or operational leadership experience.
Proficiency in analyzing and interpreting data trends.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $93,000 – $128,000 per year. This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, ‘Humana’) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities.
About us
About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being.
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The Associate Director, Coding Education identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. The Associate Director, Coding Education requires a solid understanding of how organization capabilities interrelate across department(s).
The Clinical Education team exists to support all the Primary Care Organization’s providers, nurses, social workers, and other staff members through training and education.
This role is embedded within the clinical education team and will work closely with Coding operations team and Clinical Excellence team under the CenterWell Primary Care Organization. You will oversee training strategy and execution, training quality assurance and data analytics for provider coding training. As an education team leader, you will be the ambassador for value-based, senior care model in the primary care network.
The Associate Director, Clinical Coding Education (RN) will develop, design, and deploy the overall clinical coding curriculum to include onboarding and continuing education in collaboration with coding and clinical education team. They will collaborate with the learning team to create and deploy learning modules in addition to managing a team of role-based trainers and training facilitators. The Associate Director, Clinical Coding Education (RN) role will report to the National Director, Clinical Education, and work as a thought partner with Coding and Documentation Improvement Medical Director.
The Main Responsibilities Of The Role Are
Determine clinician coding education strategy with clinical education team and CDI (coding and documentation improvement) medical director embedded in Clinical excellence.
Align clinician coding education strategy with organizational MRA goals in working with AVP coding and AVP MRA strategy. Develop a roadmap for clinician coding education based on upcoming changes to the V28 model.
Gain buy-in for coding education strategy in working with division CMOs, clinical leaders, clinical excellence team, clinician educators.
Work closely with coding team and coder education teams to loop in performance data and input into clinician education strategy.
Develop, design, and deploy clinician coding education leveraging coding educators on your team to providers in partnership with clinician educators.
Seek feedback and secure buy-in regarding ongoing education from clinical leaders.
Develop and maintain a scorecard to assess the effectiveness of clinician coding training; socialize training data with key clinical leaders.
Supervise and develop a team of divisional coding educators (East, West, Florida) to provide clinician education in partnership with clinician educators.
This role will have a close working relationship and a dotted line to the medical director, CDI. The clinical coding educators will have dotted line relationships to clinical educators for their division.
Support other clinical education projects and programs as needed, as program or project manager.
As a team leader in National Clinical Education team, be an ambassador for the team’s work.
Use your skills to make an impact
Required Qualifications
Must possess an active RN license.
A minimum of five years’ experience in risk adjustment coding, auditing, and/or education, working with providers.
CPC (Certified Professional Coder) AHIMA or AAPC Certification required.
A minimum of three years’ experience in a clinic setting, preferably in Value-based Care space.
A minimum of two years’ experience leading large-scale projects across a matrixed organization.
A minimum of two years’ leadership experience.
Knowledge of EMR.
In-depth knowledge of risk adjustment key performance indicators.
Comprehensive knowledge of MS Word, Excel, and PowerPoint.
Preferred Qualifications
Master’s degree.
Progressive business consulting and/or operational leadership experience.
Proficiency in analyzing and interpreting data trends.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $93,000 – $128,000 per year. This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, ‘Humana’) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities.
About us
About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being.
#J-18808-Ljbffr