Risk Adjustment Provider Educator - Remote (Tyler, Beaumont, Longview & Lufkin, TX) Job at Cigna

Cigna Tyler, TX 75702

Remote,Must reside near (Tyler, Beaumont, Longview & Lufkin, Texas)

Core Responsibilities:
The provider educator serves as primary contact and Subject Matter Expert (SME) for clinical Documentation Integrity and ICD-10-CM coding for assigned markets and providers.

Drives improvements to support coding/documentation accuracy across Medicare Risk Adjustment programs through Provider Education.

Responsible for building and maintaining positive, productive relationships with internal and external stakeholders.

Implementation of office-based ICD-10 CM coding education for both providers and staff.

Responsible for identifying and influencing adoption of resources and processes for attaining risk adjustment and quality goals of assigned organizational entity partners.

Review of office ICD-10-CM diagnosis coding, allied data with emphasis on trends & documentation patterns per provider.

Attendance at regular professional development trainings including risk adjustment and quality meetings both in-house and outside Cigna Organization.

Requirements:
Must have at least one of the following Certifications from either AHIMA or AAPC

Certified Professional Coder (CPC)

Certified Risk Adjustment Coder (CRC)

Certified Coding Specialist for Providers (CCS-P)

Certified Documentation Improvement Practitioner (CDIP)

Registered Health Information Management Technician (RHIT)

Minimum of 3-5 years of risk adjustment coding and clinical documentation experience

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.


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