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Provider Education Specialist (Greenville, South Carolina)

Company: Cigna
Location: Greenville
Posted on: October 12, 2019

Job Description:

It's fun to work in a company where people truly BELIEVE in what they are doing! We're committed to bringing passion and customer focus to the business. Description The Provider Education Specialist is responsible for providing education and training to physician groups/offices on correct diagnostic coding initiatives, compliance of plan tools, reporting on findings resulting from chart audits, ensuring accurate data entry for CMS submission. This specialist will also extract and enter codes from plan tools (Enhanced Encounters, 360 exams and Health Management Reports), perform comprehensive chart reviews and enter into electronic systems for data capture. The specialist will be required to maintain required productivity and accuracy rate. 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. Qualifications Candidate must be located in the Greenville, South Carolina Market Area - HS diploma is required - Active coding certification through AHIMA or AAPC is required. - At least two years' of hospital inpatient and/or outpatient or medical office coding experience is required. - Prior experience training providers on chart documentation and coding guidelines is preferred. - Prior audit/quality experience preferred. - Prior experiences teaching/training others on correct coding guidelines and/or have the ability to present to large groups of Physicians/Providers or in one-to-one settings preferred. Additional responsibilities/experience includes: - Extensive knowledge of ICD-10-CM coding principles and guidelines. - Familiarity with physician-specific regulations and polices related to documentation and coding. - Microsoft Office expertise including Word, Excel and Power Point applications that will be used to develop and present training material - Please Note: travel to provider offices will be required for this position and the viable candidate needs to be available for day and evening sessions. Qualified applicants will be considered without regard to race, color, age, disability, sex (including pregnancy), childbirth or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require an accommodation based on your physical or mental disability please email: *********************. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. We're a global health service company dedicated to helping people improve their health, well-being and sense of security. We offer an integrated suite of health services, such as medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products that serve over 95 million customers around the world. When you work with us, you'll enjoy a different kind of career - you'll make a difference, learn a ton, and change the way people think about health insurance. To see our culture in action, search #TeamCigna on Twitter or Instagram.

Keywords: Cigna, Greenville , Provider Education Specialist (Greenville, South Carolina), Education / Teaching , Greenville, South Carolina

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