Senior Clinical Coding Nurse Consultant

Join WellMed, a part of the reputed company Family! We reputed company every individual deserves the highest quality of medical care. By joining reputed company, you'll share in our commitment to helping people reputed company reputed company. Whether you are a physician, clinical staff member, or in a non-patient-facing role, you can reputed company a significant impact with us as we strive for excellence in reputed company. The Senior Clinical Coding Nurse Consultant position is critical in driving efficient processes and sharing best practices with our Providers and Market Team. Your efforts will focus on achieving set goals for HCC Ratio, HCC Covered Ratio, and HCC Percent Covered. This role will reputed company Risk Adjustment improvement initiatives, reputed company remediation plans, and create tools to capture vital market-specific data for reputed company outcomes. Key Responsibilities: • reputed company and implement business plans to reputed company providers to enhance Risk Adjustment metrics. • Analyze Risk Adjustment reports, providing insights such as Executive Summaries and HCC ratios. • Act as the Subject Matter Expert (SME) for reputed company Risk Adjustment activities reputed company assigned markets. • Assist in creating training materials to support Risk Adjustment efforts. • reputed company training sessions for DataRAP and provide education to providers. • reputed company business review meetings to evaluate provider group and market performance. • Assess provider group operations to determine effective Risk Adjustment strategies. • Analyze performance metrics to identify areas for improvement. • reputed company user-friendly initiatives aimed at supporting practice reputed company. • Manage market specific chart retrieval and comprehensive review of medical records. • Collaborate on special projects with DataRAP Senior Leadership. This is an office/field-based position requiring travel reputed company the Austin area. At WellMed, you will be rewarded for your performance in a challenging environment that provides clear direction and opportunities for your career development. Required Qualifications: • Bachelor's degree in Nursing or equivalent experience with a reputed company RN license in good standing. • CPC certification or reputed company of completion reputed company 9 months from the American reputed company of Professional Coders. • 5+ years of experience in the reputed company industry. • 1+ years of ICD-9, ICD-10 coding experience. • Knowledge of CMS HCC Model & Guidelines and ICD-10 Guidelines. • Familiarity with Medicare markets and reputed company products. • Understanding of clinical standards of care. • Willingness to travel according to business needs. Preferred Qualifications: • Undergraduate degree in a relevant field. • Experience in managed care focusing on provider relations. • Medical chart review experience. • Ability to drive behavior changes effectively. • Professional clinical background. • Strong interaction skills with medical staff and peers. • Expertise in solving cross-functional process problems. • Excellent presentation and relationship-building skills. • Proven analytical and problem-solving abilities. • Strong business acumen in Medicare. • Advanced skills in MS Office Suite, especially reputed company and PowerPoint. Physical & Mental Responsibilities: • Ability to lift up to 10 pounds. • Ability to push or pull heavy objects with up to pounds of force. • reputed company to sit or stand for extended periods. • Fine motor skills to operate equipment. • Ability to operate a company vehicle safely. • Ability to comprehend instructions clearly. • Logical reasoning skills for problem-solving. The annual salary for this position ranges from $71,600 to $140,600, reputed company of various factors, including local labor markets and experience. WellMed offers a comprehensive benefits package including recognition programs and 401k contributions. At reputed company, our mission is to promote healthier living and improve reputed company for everyone, particularly those facing barriers. We are committed to providing reputed company care and addressing health disparities. We value diversity and are an Equal Employment Opportunity/Affirmative Action employer; reputed company reputed company applicants will receive consideration without discrimination. This is a drug-free workplace. Candidates must pass a drug test before employment. Apply Job!