RemoteTravel to territories is required as needed for in-person education, oversight, feedback, and training.
About the job
Requirements
Knowledge of electronic health records, health information systems, healthcare applications, and their effects on coding practices.
Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPS, and APC coding guidelines.
Extensive knowledge of hospital and professional coding, including ProFee Services, is beneficial.
Knowledge of medical terminology, classification systems, and vocabularies.
Knowledge of privacy and security regulations, confidentiality, laws, access, and release of information practices.
Strong analytical skills, data presentation, technical capabilities, and metric management; ability to execute analysis and recommend outcomes based on data interpretation.
Ability to troubleshoot issues independently and learn proprietary software applications.
Ability to prioritize and adhere to strict deadlines, work independently, and multitask in a fast-paced environment.
Ability to work under moderate to high stress and pressure while maintaining a professional attitude.
Ability to communicate professionally by phone, email, business letters, and fax.
Responsibilities
Provide ongoing outreach education to new and existing clinicians on Hospital Medicine coding and documentation requirements through onsite, classroom, telephone, electronic, and web-based formats.
Counsel clinicians identified as outliers through face-to-face interaction, telephone, web, or email at least monthly or as coordinated by the Director of Documentation Assurance.
Educate and provide documentation-performance feedback to new clinicians within their first month of service.
Advise and educate internal Operations teams on documentation and coding by telephone, webinar, in person, or in Monthly Facility Team Meeting group sessions.
Analyze and trend monthly Facility Report Cards to identify documentation and RVU outliers at facility or clinician level; develop action plans, prioritize outreach, provide feedback and education, distribute reports to Medical Directors and Operations Leadership, and escalate outliers under established policies and processes.
Participate in standing clinician meetings to highlight documentation, coding, and quality initiatives.
Educate and counsel clinicians on resolving external and internal chart queries.
Document all outreach activity in the SalesForce application.
Participate in clinician Electronic Medical Record (EMR) training and provide feedback or clarification on documentation and coding workflow concepts.
Participate in company-wide clinical documentation initiatives identified by Clinical Leadership.
Travel to territories as required to provide in-person documentation education, oversight, feedback, and training.
Collaborate with the Data and Performance Analytics Team on clinician feedback.
Perform miscellaneous job-related duties as assigned.
Serve as a training resource during EMR upgrades, onsite or via web-based training.
Advise coders on EMR functions and documentation scenarios.
Provide information and feedback in meetings with internal Operations teams.
Conduct bi-monthly reviews and analyses of acuity and RVU decreases, clinical data feeds, EMR transitions, new facility starts, and unbillable visits.
Collect NP/PA, Resident, and Scribe attestation examples as needed for new facilities and EMR transitions.
Present onsite or web-based MIPS/MACRA documentation training to clinicians as needed.
Provide support on ad hoc departmental projects.
At SCP Health, what you do matters
As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.
Why you will love working here:
- Strong track record of providing excellent work/life balance.
- Comprehensive benefits package and competitive compensation.
- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.
CORE VALUES
Agility:
Strong organizational skills with the ability to multi-task in a fast paced environment.
Ability to adapt, modify and prioritize while adhering to strict deadlines and a willingness to shift priorities to meet the needs of the organization.
Knowledge and understanding of medical coding and billing systems and regulatory requirements.
Knowledge of legal, regulatory and policy compliance issues related to medical coding and billing procedures and documentation.
Respect:
Relationship building skills - develop partnerships to drive results
Must demonstrate professional manner and appearance with all communications.
Collaboration:
Excellent communication and interpersonal skills and demonstrated ability to interact with a variety of team members, including physicians and executive level employees.
Team Oriented with strong Influence and negotiation skills.
Courage:
Self-motivated with the ability to identify opportunities for improvement and demonstrate the initiative to resolve issues in support of improvement efforts.
Must be able to work under moderate to high stress and pressure while maintaining a professional attitude.
Strong analytical skills and the ability to work independently to analyze and solve problems.
Adept at learning proprietary software applications.
JOB DESCRIPTION:
Responsibilities:
Primary Functions:
Perform ongoing outreach education for new and existing clinicians on Hospital Medicine coding and documentation requirements using a variety of formats, including onsite, classroom, telephonic, electronic and web-based applications.
To counsel clinicians identified as outliers via face-to-face interaction, phone, web-based, and/or email, on a minimum of a monthly basis or as coordinated by Director of Documentation Assurance
Educate and give feedback to all new clinicians on documentation performance within the first month of service.
To advise and educate internal Operations teams on documentation/coding by phone, webinar, in person or by participating in Monthly Facility Team Meeting group sessions.
Monthly Facility Report Card analysis and trending to identify documentation and RVU outliers at the facility or clinician level.
Action Plan development and outreach prioritization.
Individual clinician and/or facility documentation feedback and education.
Medical Director and Operations Leadership report distribution and support.
Outlier clinician /facility escalation using established policies and processes.
Participate in standing clinician meetings to highlight documentation, coding, and quality initiatives
Educate and counsel clinicians on how to resolve external and internal chart queries
Documentation of all outreach activity in SalesForce application.
Participate in clinician Electronic Medical Record (EMR) training and provide feedback/clarification on documentation and coding workflow concepts.
Participate in company-wide initiatives related to clinical documentation as identified by Clinical Leadership.
Travel to territories as required to provide in person documentation education, oversight, feedback, and training
Collaborate with Data and Performance Analytics Team on clinician feedback
Performs miscellaneous job-related duties as assigned.
Secondary Functions:
To function as a training resource during EMR upgrades via onsite or web-based
To advise Coders on EMR function and documentation scenarios
To provide information and feedback in meetings with internal Operations teams
To conduct Bi-monthly reviews and analysis for the following:
Acuity and RVU decreases
Clinical Data Feeds
EMR Transitions
New Facility Starts
Unbillable Visits
To collect NP/PA, Resident, and Scribe Attestation Examples as needed for new facilities and EMR transitions
To present onsite or web-based MIPS/MACRA documentation training to clinicians as needed
To provide support on any ad hoc departmental projects
Knowledge, Skills, and Abilities:
Knowledge as it relates to, but not limited to, Electronic Health Record, health information systems and healthcare applications and their effects on Coding practices today and in the future
Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPS, and APC coding guidelines
Extensive knowledge of hospital and professional coding including ProFee Services beneficial
Knowledge of medical terminology, classifications systems, and vocabularies
Knowledge of privacy and security regulations, confidentiality, laws, access, and release of information practices.
Excellent oral, written, and interpersonal communication skills for working with all different levels of professionals, including physicians, external and other internal partners
Strong analytical skills, data presentation, technical capabilities, and metric management
Must be able to execute on analysis and recommend outcomes based on interpretation of data
Team Oriented with strong Influence and negotiation skills
Relationship building skills - develop partnerships to drive results
Problem solving skills, good critical thinking, and decision-making skills
Strong organizational skills with the ability to multi-task in a fast-paced environment
Ability to prioritize and adhere to strict deadlines
Ability to work independently and multitask in a fast-paced Global environment
Ability to troubleshoot issues independently
Adeptness at learning proprietary software applications
Must be able to conduct themselves in a professional manner via phone, e-mail, business letters and fax
Must be able to work under moderate to high stress and pressure while maintaining a professional attitude
Pay Range:
50,751.00 - 72,120.00 USD annually
This range represents the anticipated base salary for this role. Actual compensation will be determined based on experience, qualifications, and internal equity considerations.
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We offer a comprehensive benefits package designed to support your health, financial well-being, and work-life balance, including medical dental, vision insurance, a 401(k) plan with a company match, paid time off and holidays, professional development support, and employee wellness resources.