What are the responsibilities and job description for the Healthcare Risk Adjustment Expert position at Wellvana?
Role Overview
The RN Provider Educator plays a pivotal role in partnering with Wellvana-affiliated practices and health systems to enhance clinical documentation and risk adjustment coding. This position requires a deep understanding of industry rules and regulations, particularly the mechanics of risk adjustment coding and HCC Risk Adjustment Model Categorical Hierarchy.
Main Responsibilities:
- Reviewing clinical data and available patient documentation to confirm patient diagnoses prior to physician visits
- Personalizing individual physician and practice feedback based on data analysis and audits
- Maintaining a comprehensive schedule and visit log for all practice and health system interactions
