Associate Director, Clinical Coding Education (RN) - CenterWell
Providence, RI
About the Job
Become a part of our caring community and help us put health first
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 also 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 re: ongoing education from clinical leaders
+ Develop and maintain a score card 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 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
Work at Home Statement
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
+ Satellite, cellular and microwave connection can be used only if approved by leadership
+ Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
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 yearThis 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. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources
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 also 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 re: ongoing education from clinical leaders
+ Develop and maintain a score card 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 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
Work at Home Statement
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
+ Satellite, cellular and microwave connection can be used only if approved by leadership
+ Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
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 yearThis 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. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources
Source : CenterWell
