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Certified Coder

Provider Network Solutions of Puerto Rico

En Provider Network Solutions , valoramos la comunicación, el aprendizaje constante y la innovación. A través de nuestro Provider Innovation Center , formamos líderes que redefinen el ecosistema de la salud. ¡Y queremos que tú seas parte de esta transformación! ¿Qué harás como como Certified Coder Education Specialist? Diseña, desarrolla e implementa iniciativas dirigidas a codificadores, médicos y personal clínico-administrativo, alineadas con los estándares regulatorios, guías de CMS y necesidades operacionales de la organización. Crea materiales educativos actualizados y planes de estudio estructurados sobre codificación médica, documentación clínica, cumplimiento normativo, facturación y modelos de ajuste de riesgo, asegurando relevancia y actualización continua. Educa a proveedores sobre los modelos de HCC, CDPS-Rx, Medicare Advantage, Risk Adjustment (RAU), incluyendo su impacto en los modelos de pago, apoyando la precisión en la codificación y la calidad documental. Coordina y ejecuta capacitaciones grupales a proveedores, así como intervenciones educativas personalizadas para atender brechas de desempeño, mejorar métricas de calidad y fortalecer el cumplimiento regulatorio. Brinda apoyo educativo a proveedores en procesos de auditoría, revisión de hallazgos y retroalimentación a proveedores y codificadores, promoviendo la mejora continua en la documentación clínica y la excelencia operacional. Evalúa la efectividad de las iniciativas educativas mediante métricas de desempeño y retroalimentación; diseña herramientas de visibilidad para el monitoreo de intervenciones y apoyo a la toma de decisiones estratégicas. Lo que buscamos en ti: Formación académica: Grado de Bachillerato y/o Grado Asociado en Administración de Empresa o un campo relacionado a la Salud emitido por una institución acreditada. Certificación de Codificación Profesional (CPC) por la AAPC y/o AHIMA o Certificación de Codificación en Riesgo (CRC) completada o en proceso emitido por la AAPC o AHIMA. Experiencia: Mínimo de dos (2) años de experiencia en codificación. Beneficios excepcionales: Tu salud protegida: Contribuimos a tu Plan Médico para que tú y tu familia estén tranquilos. Seguridad ante lo inesperado: Nuestro Seguro de indemnización por cáncer te respalda cuando más lo necesitas. Tranquilidad financiera: Con un Seguro de incapacidad a largo plazo, te acompañamos pase lo que pase. En Provider Network Solutions , no solo tendrás un empleo, sino una plataforma para desarrollar tu liderazgo y marcar la diferencia en el mundo de la salud. #J-18808-Ljbffr Provider Network Solutions of Puerto Rico

Vacancy posted 4 days ago
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