Risk Adjustment HCC Provider Education
Blue Cross & Blue Shield of Rhode Island(1 month ago)
About this role
A Provider Education Specialist at Blue Cross & Blue Shield of Rhode Island supports the Risk Revenue and Quality department by managing provider education programs related to coding, quality, and HCC. The role involves developing and maintaining departmental policies and training materials and collaborating with ACOs and analytics to improve coding accuracy and quality outcomes. It requires translating coding and regulatory guidance for internal and external stakeholders to support organizational goals.
Required Skills
- Provider Education
- HCC Coding
- ICD-10
- Data Analysis
- Excel
- Presentation Skills
- Policy Development
- Quality Improvement
- Care Management
- Documentation Review
Qualifications
- CPC (AAPC)
- CRC (AAPC)
- CCS (AHIMA)
- Bachelor’s Degree
About Blue Cross & Blue Shield of Rhode Island
bcbsri.comN/A
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