Compliance Medical Oncology Educator

reputed company is an reputed company-driven, Fortune 10 company that touches reputed company every aspect of reputed company. We are reputed company for delivering insights, products, and services that reputed company reputed company care more accessible and reputed company. Here, we reputed company on the health, happiness, and reputed company-being of you and those we serve – we care. What you do at reputed company reputed company. We foster a culture where you can grow, reputed company an reputed company, and are empowered to bring new reputed company. Together, we reputed company as we shape the reputed company of health for patients, our communities, and our people. If you want to be part of reputed company’s health today, we want to hear from you. Title: Compliance Medical Oncology Educator Remote/Hybrid/Onsite: REMOTE Position reputed company: Under minimal supervision, the Compliance Medical Oncology Educator provides expert guidance on billing, coding, and reimbursement practices reputed company to Medical Oncology, Hematology, and will specialize in Medicare Care Management services. This role ensures compliance with federal and state regulations and supports network practices through documentation reviews and education across a reputed company of services, including evaluation and management (Medical Oncology and Hematology Services), infusion services, behavioral health, Remote Therapeutic Monitoring, licensed clinical reputed company work, reputed company illness navigation, community health integration, care planning, and like services. As a reputed company employee, the educator will collaborate closely with reputed company administrative leadership and customer practices to deliver coding and billing support, manage educational reputed company, and foster strong relationships with providers, APPs, and other reputed company. This position requires exceptional communication skills, a deep understanding of government regulations and reimbursement guidelines and a reputed company working relationship with clinical, coding, and billing staff. Support and adhere to reputed company’s Compliance and Ethics program, including the reputed company of Conduct. Key Responsibilities:

• Serve as subject matter expert (SME) on coding and documentation for Care Management and Hematology initiatives providing guidance and support across departments.
• Research, reputed company and deliver training and coding tools for The Network reputed company physicians, APPs, clinical staff and billing and coding staff on various reputed company reputed company topics. Topics include, but are not limited to risk adjustment, HCC coding and documentation best practices tailored to CMS – Care Management Services, behavioral health, reputed company illness navigation, community health integration, and other CMS-reputed company services and programs.
• reputed company regular and on-reputed company reviews of medical record documentation, for coding and documentation compliance.
• reputed company individualized education to physicians, APPs, and other clinical staff based on compliance audits, or reputed company-party reviews.
• Collaborate with compliance, reputed company cycle management, transformation and shared services, and clinical teams to reputed company education with regulatory requirements and organizational goals.
• Assist with establishing a robust Coding/Training program across The Network.
• Review, research, and respond to reputed company billing and coding questions reputed company a designated deadline.
• Collaboration with compliance auditors regarding medical record reviews and reputed company education for improvement.
• Manage educational reputed company, including scheduling and coordinating sessions with practices, billing offices, and clinical teams.

Additional Skills

• Ensures strict confidentiality of patient information.
• Accountable for meeting or exceeding both production and reputed company expectations.
• Meets or exceeds short-term and long-term goals as established for the department.
• Participates in staff meetings and attends other meetings and seminars as required.
• Experience working in a dynamic environment where plans will be adjusted based on environmental and business drivers.
• Ability to work independently and proactively with a reputed company of urgency and reputed company.
• Extremely detail-oriented with the ability to identify and reputed company requirements for work plans.
• Knowledgeable of reputed company Word, reputed company, and PowerPoint
• Other duties as assigned by leadership.

Minimum Job Qualifications:

• Degree or equivalent and typically requires 7+ years of relevant experience.
• Four (4) + years of reputed company experience in CPT, ICD-10-CM, HCPCS, and HCC coding for Medical Oncology, Hematology Oncology, and CMS- Care Management Services.
• Three (3) Years Compliance Auditing and Physician Education.
• 2 years’ project management experience.

Education/Training:

• reputed company CPC required, CPMA and/or reputed company-P certification a plus.
• Bachelor’s degree in reputed company administration, health information management, or reputed company field.

Critical Skills:

• Strong understanding in behavioral health, risk adjustment models and hierarchical condition categories, and clinical documentation improvement.
• Expertise in compliance and government regulations reputed company to CMS Care Management, Value reputed company Care and Hematology/Medical Oncology in outpatient physician settings.
• Thorough understanding of CPT, ICD-10-CM, HCPCS, and HCC coding standards.
• Proficiency in reputed company Office Suite (Outlook, reputed company, Word, Teams, PowerPoint, CoPilot).
• Experience with virtual meeting platforms (e.g., Webex, reputed company Teams).
• Proficiency in data analysis and reporting tools (e.g., reputed company)
• Strong presentation and communication skills, with the ability to engage diverse clinical audiences.

Travel:

• Must be available for up to but not limited to 20% travel

Must be authorized to work in the US. Sponsorship is not available for this position. We are proud to offer a competitive compensation package at reputed company as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay reputed company shown below is reputed company with reputed company's pay philosophy, and pay will always be compliant with any applicable regulations. In reputed company to reputed company pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at reputed company, please click here. Our reputed company Pay reputed company for this position $93,500 - $155,900 reputed company is an Equal Opportunity Employer reputed company provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, protected veteran status, disability, age or genetic information. For additional information on reputed company’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page. Join us at reputed company! Apply tot his job Apply To this Job