Aledade
Healthcare
ClinicalRiskEducator
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“Clinical Risk Educator at Aledade. Skills: Clinical documentation improvement, Medical chart reviews, Diagnosis documentation education, Risk adjustment program expertise, CMS regulatory updates. Developing and delivering educational content to improve accurate and complete clinical documentation practices. Supporting clinical audiences of external partner practices and Aledade’s clinical and non-clinical staff”
What You'll Achieve.
Improve accurate and complete clinical documentation practices; Ensure complete and accurate clinical documentation
Industry & Context.
Interpreting performance data to uncover learning opportunities; Pinpointing specific areas for improvement in coding and clinical documentation; Identifying trends and patterns that may indicate systemic issues or training needs; Ability to use insights from clinical and quality data to address opportunities for improvement
Availability for market-specific events, including the execution of 1-2 Saturday events per year in select markets, Flexibility to work occasional evening hours, with the potential for 1-2 evenings per month on a national scale, Willingness to travel as needed to Aledade’s headquarters or markets (est. up to 25% across the year), Sitting for prolonged periods of time, Extensive use of computers and keyboard, Occasional walking and lifting may be required
What They're Looking For.
Must Have
Bachelor's degree in a healthcare related field or equivalent work experience required, 5+ years of clinical experience (in particular nursing or international medical backgrounds), Current medical coding certification such as Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Expert Outpatient (CDEO), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), etc. through AAPC, ACDIS, or AHIMA, 2+ years of clinical documentation improvement experience, Extensive knowledge of ICD-10-CM, HCPCS and CPT coding, medical terminology, human anatomy and physiology, clinical indicators associated with disease processes and pharmacology is required, Subject matter expertise on the CMS HCC Risk Adjustment program, methodology, and impact to value-based contracts, Comfortable presenting to large and small groups in person and in virtual format (Google Meet, Zoom, etc.), Ability to work both independently and collaboratively, Flexible and able to multi-task and prioritize work load on a daily basis, Availability for market-specific events, including the execution of 1-2 Saturday events per year in select markets, Flexibility to work occasional evening hours, with the potential for 1-2 evenings per month on a national scale
Nice to Have
Active nursing credential as Registered Nurse (RN), Licensed Practical Nurse (LPN), or international medical graduate (IMG), Background in working directly with providers in an outpatient setting, Experience developing and delivering clinical education and training via Google Slides or Powerpoint presentations, Ability to use insights from clinical and quality data to address opportunities for improvement, Advanced knowledge of Medicare billing and coding regulations, along with a deep understanding of CMS compliance standards and guidelines, General understanding of the billing requirements and reimbursement structures for FQHCs/RHCs, Willingness to travel as needed to Aledade’s headquarters or markets
What You'll Do.
Developing and delivering educational content to improve accurate and complete clinical documentation practices
Supporting clinical audiences of external partner practices and Aledade’s clinical and non-clinical staff
Performing retrospective medical chart reviews to pinpoint areas for improvement
Interpreting performance data to uncover learning opportunities
Leading diagnosis documentation education for clinical audiences
Collaborating to design and implement educational materials aligned with regulatory compliance and value-based care principles
Performing qualitative retrospective chart reviews for prioritized practices
Utilizing quantitative measures to track documentation errors and gaps
Pinpointing specific areas for improvement in coding and clinical documentation
Identifying trends and patterns indicating systemic issues or training needs
high-level summaries to illustrate findings
Conducting educational sessions for Aledade ACO member practices and their key staff
Serving as an individual contributor on the Risk Education team
Developing and updating educational materials related to clinical documentation
Conducting ongoing annual reviews of repository content
Researching and staying up-to-date on clinical and coding guidelines
Serving as a resource for appropriate clinical documentation and coding practices
How You'll Work.
Team & Collaboration
Collaborates with colleagues and leadership to design and implement educational materials; Collaborates with team members to develop and update educational materials
Communication Scope
Comfortable presenting to large and small groups in person and in virtual format
Full Job Description
## Description The Clinical Risk Educator is responsible for developing and delivering educational content designed to improve accurate and complete clinical documentation practices. This role supports the clinical audiences of our external partner practices as well as Aledade’s clinical and non-clinical staff internally. Key responsibilities include performing retrospective medical chart reviews to pinpoint areas for improvement, interpreting performance data to uncover learning opportunities, and leading diagnosis documentation education for clinical audiences. The Clinical Risk Educator collaborates with colleagues and leadership to design and implement educational materials that align with regulatory compliance and value-based care principles. This position requires a deep understanding of clinical documentation concepts, clinical practice, and general outpatient practice workflows. It also demands a commitment to fostering education that promotes high-quality, compliant documentation practices within a value-based care framework. Candidates should be comfortable working remotely/work from home anywhere within the US. ## Primary Duties The Clinical Risk Educator performs qualitative retrospective chart reviews for prioritized practices to ensure complete and accurate clinical documentation, utilizing quantitative measures to track the frequency and types of documentation errors and gaps. By analyzing review outcomes, they pinpoint specific areas for improvement in coding and clinical documentation while identifying trends and patterns that may indicate systemic issues or training needs. This role involves synthesizing concise, high-level summaries to illustrate findings, highlighting critical areas of concern, and prioritizing recommendations for improvement. Additionally, the Educator conducts educational sessions for Aledade ACO member practices and their key staff—delivered either in person or virtually—covering review findings, clinical documentati
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