Clinical Transformation Educator - Geisinger Health Plan (Work from Home Pennsylvania resident)
Location: Danville, Pennsylvania
Type: Full Time
Internal Number: R-25888
Assesses, designs, develops and delivers training programs to bridge the education/documentation gap for all related lines of business. Acts as a subject matter expert and educator to Physician leadership, Administrative, Internal coding, Provider Network Management, Population Health and Operational teams for the sole objective of accurate and complete documentation and coding, strategic growth initiatives, and compliance improvement initiatives. Supports all collaborative education and documentation initiatives for multiple hospitals and providers.
Develops, maintains, and provides education on all aspects of quality documentation and coding as it pertains to clinical, administrative, and support teams.
Drives the strategy and vision of quality documentation and clinical transformation.
Determines data and strategic reporting needs by communicating with clinicians, administrators and analysts.
Prepares reports, presentations, maps and graphs, reflecting the collaboration of external and internal parties, summary and translation of data into actionable information.
Delivers presentations to clinicians and administrators.
Collaborates with provider sites to define solutions to needs or problem areas and determines scope of investigation required to obtain solution.
Works with all the Health Plan Network physicians, managers and clinical department staff to identify areas that would benefit from tools or other system functionality to maximize physician time and efficiency.
Identifies clinical departments that would benefit from documentation and coding education sessions by using analytical reports.
Analyzes key indicators of quality documentation.
Prepares presentations reflecting synthesis, summary and translation of data into actionable information.
Provides coding support to develop meaningful education strategies and detailed translation.
Assists in developing, preparing, and delivering process flow documentation for all applications that end users are trained in, including but not limited to: claims processing system, coder tools, departmental collaboration and staff work flow.
Identifies on-line or outside experts for inclusion in the training series to bring about consistent information and procedure training across all disciplines.
Supports the development and maintenance of new coder training material.
Trains new employees while ensuring ongoing education with current staff of the health plan.
Provides consultative support to clinical areas and recommends operational strategies to achieve accurate documentation and coding processes.
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
*Relevant experience may be a combination of related work experience and degree obtained (Associate's Degree = 2 years; Bachelor's Degree = 4 years).
High School Diploma or Equivalent (GED)- (Required)
Minimum of 6 years-Relevant experience* (Required)
Certification(s) and License(s)
Registered Health Information Technician (RHIT) - American Health Information Management Association; Certified Professional Coder - American Academy of Professional Coders (AAPC); Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC)
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh FoodFarmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencingprograms, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 1...3 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers. What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.