Condition Management & Documentation Consultant

Overview

Job Profile Summary

Coordinates, facilitates, implements and participates as a subject matter expert within the organization for Condition Management and Documentation (CMD). The role is responsible for Condition Management and Documentation education, performance improvement planning and monitoring the comprehensive Condition Management and Documentation plan for AAH. This is an enterprise role with primary focus on contracts held by APP and employed Medical Groups. The role partners closely with the Coding and

Auditing teams. This role implements new and existing healthcare Risk Adjustment strategies, provides

education and workflow recommendations to providers, identifies EHR. CMD related opportunities,

troubleshoots and tests CMD related EHR enhancements and conducts data collection; and is responsible

for monitoring key performance measurement activities.

Licensure, Registration, And/or Certification Required

• Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or
• Registered Nurse license issued by the state in which the team member practices, or certified Risk Adjustment Coder (CRC) issued by American Academy of Professional Coders (AAPC). needs to be obtained within 1 year.
  
  

Education Required

• Bachelor's Degree in Health Information Management, or Bachelor's Degree in Nursing or related field.
  
  

Experience Required

• Typically requires 5 years of experience in healthcare (payer, population health, quality, coding, managing health care clinical risk or similar industry)