What You'll Do

• Coordinates and leads Provider facing meetings to achieve excellence in risk adjustment coding.
• Collaborates with Risk Data Analytics and Value Program partners to deliver performance results to large Provider groups.
• Develops and presents data-driven presentations to large Provider groups to include plan of action or recommendations when deficiencies are identified.
• Access various reporting databases to collect and analyze date, develop custom presentations and recommendations.
• Consults with other internal BCBSNC teams to advise on wellness programs and evaluation.
• Acts as a day-to-day resource for risk adjustment coding and documentation best practices. Provides guidance with interpretation of coding guidelines to assist the provider and/or their representatives.
• Supports management decisions on workflow process, quality improvement, goal setting and data driven information-based decision-making. Provides timely feedback to management on provider performance. Acts to facilitate change efforts and promote department, division, and corporate goals.
• Plan on-site visits to stakeholders to educate on risk adjustment coding.
• Web Content Management System (WCMS) departmental representative/collaborate with other areas to maintain SOP's, processes, and procedures.
• Accepts other duties as assigned to help drive the departmental, division and corporate goals.

What We Like

• Prior experience in a Provider facing role
• Experience in Microsoft Office Suite of products (Excel, PowerPoint, Word)
• Experience telling a story using data

What You'll Bring (Hiring Requirements)

• Bachelor's degree or advanced degree (where required)
• 3 years of experience in related field.
• In lieu of degree, 3+ years of experience in related field
• Must have a Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) certification

Salary Range