Illinois Licensed Clinical Educator

Job Summary

A company is looking for an Outpatient Clinical Documentation Integrity Educator.

Key Responsibilities

• Conduct provider medical record audits and analyze practice patterns to ensure accurate CMS payment and improve quality of care
• Develop and deliver coding and billing training for physicians, coders, and other personnel, including curriculum and competency assessments
• Perform quality assurance reviews/audits and monitor coding and billing regulations for compliance

Required Qualifications

• Bachelor's degree in Nursing, Health Education, Health Information Management, Healthcare Administration, Business, or related field is required
• 3 years of Hierarchical Condition Category (HCC) coding experience is required
• Experience in a managed care environment working with providers on clinical documentation and coding is required
• Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) is required within 12 months of hire
• Licensed as a Registered Nurse (RN) in the state of practice is preferred