Clinical Documentation Educator

About Our Company

We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.

Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.

When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.

Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.

Job Description

As a Clinical Documentation Educator, you will beaccountable for ensuring providers are documenting and coding conditions in accordance to the VMD standard. The goal of the role will be to oversee provider education and subsequently improve documentation accuracy across HCC coding.

The Clinical Documentation and Coding Accuracy Educator will review performance metrics and reports, as well as patient charts, to identify areas of opportunity to support coding accuracy and effective documentation practices. He/she will educate all primary care providers, physicians and advanced practice practitioners, and other clinical staff on a process for improving coding accuracy performance, proper documentation and general coding practices.

How You Will Get Things Done:

• Conduct individual training and group education sessions on proper coding and documentation practices for physicians and staff consistent with industry standards and in compliance with coding guidelines

• Provide new coder onboarding education and support

• Review charts and query provider to address documentation reassessment opportunities and to prompt higher accuracy and/or specificity

• Conduct post-encounter review sessions with providers either in person or virtual

• Focused efforts for other identified performance outliers

• Coach, facilitate, solve work problems and participate in the work of the team

• Ensure compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines

• Work with market to understand what payor audit/documentation requests require compliance review

• Direct and timely provider remediation response to compliance audit plan results

How You Will Build Trust:

• Effectively communicate and implement new coding education and initiatives with providers, including the appropriate change management support to ensure successful adoption

• Host market level “coding office hours”

• Collaborate with local market risk operations leader to complete provider education activities including 1:1 education, clinic education and all supporting provider education activities

• Collaborate with clinical stakeholders to continually develop new and maintain existing educational resources and internal guidelines

• Demonstrate the ability to appropriately use coding principles that comply with CMS regulations and company goals and policies

How You Will Innovate:

• Identify opportunities for improving coding accuracy through chart review and report review

• Special review projects as assigned for analytics

• Participate as needed on process improvement, operational development and concept validation teams to share best practices and assist in the creation of best-in-class coding tools to support VillageMD risk adjustment accuracy

EXPERIENCE TO DRIVE CHANGE

• High School Diploma or Equivalent required

• Professional Coding C