Sr Clinical Coder

Job Description

The Sr. Clinical Coder is responsible for supporting the growth and improvement of Privia Health's value-based care capabilities, by conducting training, education, and management of ACO tactics.

The ideal candidate is knowledgeable in coding and documentation guidelines, knows how to develop strong relationships with clinicians, and is an effective, strong communicator. Successful candidates will also have extensive presentation experience in the following areas: ICD-10-CM, CPT and HCPCS.

Primary Job Duties:

Collaborate with the Clinical Performance Committee and Physician Leaders to meet performance targets.

Develop action plans to regions and POD to improve overall performance in the ACO

Support the onboarding and training of providers to ensure success in risk bearing programs.

Collaborate with internal teams on Quality, HCC Documentation & Coding, Clinical Operations and Performance Management.

Using primarily the Hierarchical Condition Category (HCC) Risk Adjustment model, conduct training with individual and large provider groups, predominately in-person.

Execute on risk adjustment onboarding training plans with new providers in the market.

Train on effective EHR workflows to support coding and documentation for both known and suspected conditions. Expert in how providers document and code in the EHR clinical record; serve as level one support for basic EHR customer support questions specific to risk adjustment workflows.

Providers on and off-site support to healthcare providers, front/back office and administrative staff, including, but not limited to: providing education and training to providers and staff; developing and maintaining resource materials, guides and process workflows; mining, scanning and uploading patient medical documents from EMRs; and patient outreach.