Field Based Provider Education Specialist - Certified Coder Req position at Cigna in Philadelphia

Cigna is at present recruited Field Based Provider Education Specialist - Certified Coder Req on Fri, 06 Dec 2013 18:23:28 GMT. with DRG optimization. Licensed Practical Nurse (LPN) / Licensed Vocational Nurse (LVN), or Registered Nurse (RN). Please Note: Travel will be required for...

Field Based Provider Education Specialist - Certified Coder Req

Location: Philadelphia Pennsylvania

Description: Cigna is at present recruited Field Based Provider Education Specialist - Certified Coder Req right now, this position will be placed in Pennsylvania. Detailed specification about this position opportunity kindly see the descriptions. Job Description

Responsibilities:
HealthSpring, a Cigna company, is one of the country's leading health plans focused on delivering care to the senior population, predominately through Medicare Advantage and other Medicare and Medicaid products. Along with its companies Bravo Health and Leon Medical Centers Health Plans, HealthSpring serves more than one million customers in locations across the country. Based in Nashville, Tennessee, HealthSpring operates! health plans in Alabama, Delaware, Florida, Georgia, Illinois! , Maryland, Mississippi, New Jersey, Pennsylvania, Tennessee, Texas, West Virginia and Washington, D.C. HealthSpring also offers a national stand-alone prescription drug plan. For more information, visit www.cigna.com .

Provider Education Specialist

The Provider Education Specialist is responsible for providing education and training to physician groups/offices on correct coding initiatives, , reporting on findings resulting from chart audits, ensuring accurate data entry for CMS submission, and providing education and training to physician groups/offices on correct coding initiatives.

This specialist ensures policies and procedures are monitored and updated to include regulatory changes and conducts training/education of physicians and/or physician offices through one-on-one and mass communications/presentations. The Provider Education Specialist must be available for day and evening off-site and telephonic training/education. .

Requirem! ents

Minimum Requirements:
At least two years’ of hospital inpatient / outpatient or medical office coding experience is required.

Some type of coding certification is also required and may include the following:

Certified Professional Coder (CPC),

Certified Coding Specialist for Providers (CCS-P),

Certified Coding Specialist for Hospitals (CCS-H),

Registered Health Information Technician (RHIT),

Registered Health Information Administrator (RHIA), or nursing medical background.

Additional responsibilities include:
Extensive knowledge of ICD-9-CM and/or CPT coding principles and guidelines (Diagnostic coding experience is highly preferred)

Familiarity with physician-specific regulations and polices related to documentation and coding.

Experience with Medicare Risk Adjustment guidelines.

Prior audit/quality experience.

Prior experiences teaching/! training others on correct coding guidelines and/or have the ability to! present to large groups of Physicians/Providers.

Microsoft Office expertise including Word, Excel and Power Point applications that will be used to develop and present training material

Preferred Requirements: Bachelor’s degree. Proficiency with DRG optimization. Licensed Practical Nurse (LPN) / Licensed Vocational Nurse (LVN), or Registered Nurse (RN).

Please Note: Travel will be required for this position and the viable candidate needs to be available for day and evening sessions .
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If you were eligible to this position, please email us your resume, with salary requirements and a resume to Cigna.

If you interested on this position just click on the Apply button, you will be redirected to the official website

This position starts available on: Fri, 06 Dec 2013 18:23:28 GMT

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