divh2Provider Liaison - Certified Professional Coder (CPC) / Certified Coding Specialist (CCS)/h2pA Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing./ph3Job Description/h3pOne of our direct client is looking for potential candidate with the below mentioned skills/ppDirect Client: Immediate Interview/ppContract to Hire/ppPosition: Provider Liaison/ppMUST HAVE:/pulli5 years of experience into Project Management/liliAt least 2 years of experience after CPC or CCS certification/liliBachelors degree is a must/li/ulpCertifications/ppAAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS)/ppJob Summary:/ppThe Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational materials for Network Management professionals to communicate with providers and staff regarding Clients risk adjustment programs. Primary responsibilities include working with the Risk Adjustment Management Business Analyst to measure commercial risk adjustment performance for the development of education materials. Ongoing responsibilities include communicating and educating Network Management Provider Educators to enable content delivery to specific providers. This role will operate within the Risk Adjustment Management function, but work closely with the Network Management team./ppResponsibilities :/ppOperates as the intermediary between the Risk Adjustment Management team and provider-facing staff to report and deliver commercial risk adjustment insights/ppWorks closely with the Risk Adjustment Management Business Analyst to monitor risk adjustment trends, provider coding performance and member health status using existing tools and performing ad hoc analysis/ppCollaborates with the Network Management leadership in developing, monitoring and driving key performance metrics for Network Management Provider Educators/ppCollaborates with the Network Management leadership in developing and delivering commercial risk adjustment educational content and materials for internal and external use, including clinicians and supporting staff/ppValidates documentation against submitted claims diagnosis codes and prepares detailed reports/ppSupports Risk Adjustment Data Validation audits/ppDrives communication with pertinent staff and managers to ensure that interdependencies between the departments, other projects and functional work streams are accurately identified and addressed/ppProvides status reports to management/ppCertifications:/ppAAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS)/ppKnowledge:/ppUnderstands key tenets of commercial risk adjustment and the HHS-HCC risk adjustment model/ppMastery of medical coding best practices/ppProject management skills/ppExperience displaying ability to think analytically/ppStrong communications and presentation skills/ppComputer skills: Outlook, Excel, Word Powerpoint; SAS Access preferred/ph3Qualifications/h3pEducation Experience:/ppBachelors degree in business, healthcare administration, or other related field/ppRequires a minimum of three (3) years of healthcare experience, preferably with provider focus/ppRequires CPC or CCS certification/ppRequires program/project management experience/p/div