Provider Educator – Foreign Medical Graduate

This is a fully remote position, open to applicants in Minnesota.

📋 Description

• Provide analysis, reporting, education, training, and ongoing support to clinicians and care teams to ensure accurate and comprehensive documentation of patient conditions.

• Conduct pre-visit chart assessments and organize pertinent clinical information.

• Identify opportunities for documentation improvement, coding, and risk adjustment for clinician review and consideration.

• Perform validations and audits of charts post-visit.

• Initiate appropriate clarification queries and deliver targeted feedback based on documentation trends.

• Create and deliver educational content on clinical documentation, MEAT, HCC and non-HCC conditions, ICD-10-CM coding, CMS risk-adjustment requirements, and organizational standards.

• Develop and revise presentations, quick-reference materials, case studies, and other educational tools.

• Act as a resource for questions related to documentation and coding.

• Facilitate both remote and in-person educational sessions.

• Conduct monthly CDI audits and additional reviews.

• Analyze performance indicators related to documentation, coding, queries, and risk adjustment.

• Create personalized education and documentation enhancement plans.

• Maintain profiles for clinician education.

• Monitor the effectiveness of educational initiatives and escalate ongoing issues.

• Support the onboarding process and follow-up for newly hired clinicians.

• Collaborate with clinicians, care teams, clinic leadership, coding and billing departments, and operational teams.

• Participate in team meetings, coding discussions, interdisciplinary meetings, and other assigned gatherings.

• Travel to designated clinic locations or organizational events as necessary.

• Safeguard confidential information and adhere to HIPAA, privacy regulations, and organizational policies.

• Raise any concerns regarding documentation, coding, privacy, or compliance issues.

⛳️ Requirements

• Foreign Medical Graduate, or an active RN license, as allowed by organizational and state regulations.

• Certification as a Risk Adjustment Coder or the ability to secure CRC certification within six months of hiring.

• Proficiency in reviewing medical records, analyzing documentation trends, and providing clear, constructive, and clinically relevant feedback.

• Excellent written, verbal, presentation, facilitation, organizational, and interpersonal skills.

• Capability to work independently, manage multiple priorities, and collaborate effectively across various teams.

• Flexibility to adapt to changing priorities and processes in a fast-paced environment.

• Willingness to travel as needed.

• A minimum of two years of experience in risk adjustment, clinical documentation integrity, provider education, medical coding, clinical practice, nursing, or a related healthcare field (preferred).

• Certified Professional Coder certification (preferred).

• Familiarity with acute and chronic conditions, clinical terminology, documentation principles, ICD-10-CM coding, and risk-adjustment models, including CMS-HCC V28 (preferred).

• Experience in providing documentation and coding education to treating clinicians (preferred).

• Background in Medicare Advantage, value-based care, clinical documentation integrity, risk adjustment, or clinician-performance programs (preferred).

• Understanding of documentation and coding requirements for HCC and non-HCC conditions (preferred).

• Proficiency in Microsoft Office or similar spreadsheet and presentation software (preferred).

• Strong clinical reasoning, critical thinking, analytical, and problem-solving abilities (preferred).

• Experience with athenahealth is a plus.

🏝️ Benefits

• Full-Time, Exempt employment.

• Opportunity for remote work.

• Travel to Minnesota as required.

• Commitment to Equal Employment Opportunity and an inclusive workplace.

• Training provided upon hire and annually, with regular updates on compliance policy changes.