Job Details

Provide coding and documentation improvement education and training to IPA (Independent Provider Association) providers consistent with network goals, objectives and best practices. Collaborate with organizational leaders to identify emerging needs and generate solutions. Serve as a Coding and Documentation resource to IPA Providers by performing concurrent reviews and targeted chart or HEDIS retrievals in provider offices. Coding audit findings, industry updates and common medical documentation issues will be communicated to providers to ensure CMS and Optum compliance guidelines. Will perform coding reviews through Internal System. Participate in the development and onboarding of various programs for IPA providers. Translate concepts into practice. Develop and implement effective analysis, research and evaluation of quality measures required for member demographic (Care of Older Adults (COA), Diagnostic and lab testing)Develop and maintain working relationships with our clinic partne...Quality Analyst, Clinical, Quality, Analyst, Internal, Health, Technology, Healthcare