Certified lactation educator job description

This is a multi-facility position that links breast-feeding support services for Women and Children Programs. The position serves as a lead educator that will provide breast-feeding education and assistance to in-patients and outpatients. The educator will also provide education to nursing staff. This will ensure that consistent support is available to all patients.
Required Qualifications

+ 2 years Experience as a Certified Lactation Educator (prefer UCLA or IBCLC).

+ 2 years Experience in Postpartum, Newborn or Couplet Care nursing.

+ National Provider BLS upon hire.

+ California Fire and Life Safety Card within 30 days of hire.

Preferred Qualifications

+ Bi-lingual in English and Spanish strongly preferred.

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

**About Providence**

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

**Requsition ID:** 115766
**Company:** Providence Jobs
**Job Category:** Clinical Education
**Job Function:** Clinical Support
**Job Schedule:** Part time
**Job Shift:** Day
**Career Track:** Clinical Professional
**Department:** 7003 PHCMC MATERNAL EDUC
**Address:** CA Mission Hills 15031 Rinaldi St

Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

This job exists to:
perform audits of the documentation and posted CPT, HCPCs and ICD-10 codes of a sample of billed claims to determine whether services ordered by providers are rendered to patients and are accurately billed and supported by the documentation in the clinical medical record. These reviews may be retrospective or concurrent in nature (if concurrent, the bill will not have been submitted to the insurance payer). The auditor will be required to gather data for interpretation and identifies unfavorable trends and will facilitate recommendations to improve procedures, strengthen controls, enhance revenue and improve cash flow in addition; training will be conducted, as needed to help ensure improved accuracy of billing/coding documentation.


ESSENTIAL DUTIES AND RESPONSIBILITIES:


The key responsibilities of departmental ownership and accountability are as follows:


General Leadership

• Maintain a positive attitude and fun work environment for fellow staff resulting in teamwork and productive collaboration with the site Operations and Clinical teams
• Act as the billing and coding expert for the organization
• Act as a positive representative, influencer, and valuable contributor to external organizations such as CCHN and NAHC when requested

Operational Objectives


Maximize Program Revenue:

• Minimize claims cycle-times, defects and rework
• Ensure accurate and complete coding daily
• Eliminate Missing & Incomplete encounters daily
• Providing exceptional customer service to Clinica's providers, clinic operations team, patients and to the Finance team's other internal customers

External Reporting & Compliance

• Execute daily workload within full compliance of state and federal billing regulations

Continuous Improvement Projects


Seeking opportunities to improve Billing and Financial Screening processes such as those to:

• Increase productivity
• Increase accuracy & Reduce errors (Quality)
• Completes assigned audits of provider's patient care billing documentation in accordance with the Office of Inspector General annual work plan.
• Document audit working papers in a clear, concise and consistent manner to support all findings and to enable quality assurance reviews which will help ensure accuracy of the findings and that no other issues exist.
• Prepare written and oral reports on the results of the audits.
• Understand CPT and ICD-10 coding guidelines, billing documentation and documentation standards
• Understands federal, state and commercial payer billing and payment policies.
• Hold education trainings for the Coding Staff, Provider and other clinical staff
• Meet with providers, clinical and coding staff as identified in the audit compliance plan to educate on identified risk factors from the audit findings.
• Provides expertise to Billing/Coding staff in addressing coding questions, and assist with the appeals for denials for incorrect diagnosis's for services performed as needed.
• Can assist the Coding Team with processing charges when needed to meet department monthly and yearly KPIs.

OTHER DUTIES AND RESPONSIBILITIES:

• Will maintain current certification throughout employment
• Participates on committees and in meetings as directed by their Manager
• Act as a positive Finance team representative and valuable contributor to Clinica.
• Maintains a safe work environment by remaining informed of and compliant with the clinic's safety policies, and in particular by application of safe practices in area of own responsibility.

• Compliance:
  
  • Knowledgeable of and compliant with laws and regulations governing area of responsibility.
  • Responsible for reporting any potentially non-compliant conduct.
  • Cooperates fully with our Compliance Officer in upholding our Compliance Plan
  • Performs other duties and responsibilities, as required.

Requirements



Education / Experience

• High school diploma or GED required
• Currently Certified through AAPC or AHIMA with a coding and auditing credential: Coding Credentials- CPC, CPC-H Auditing Credentials- CPMA, CHCA, CHCAS (one of these is mandatory for the position)
• 3-5 years of coding experience using ICD-9-CM10, CPT, and HCPCS codes preferred.
• Advanced knowledge of medical terminology, abbreviations, techniques; anatomy and physiology; major disease processes; pharmacology; and the metric system to identify clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the medical record.

Knowledge, skills and abilities:

• Experience with NextGen EHR, EDR, and EPM a plus.
• Coding and reviewing patient care documentation for billing purposes
• Understanding of healthcare terminology
• Familiarity of interdepartmental interactions as it relates to revenue cycle
• Understanding medical group operations
• Troubleshooting/Analysis/Problem Solving/detail oriented
• Motivated self starter capable of working under minimal supervision
• Customer service oriented
• Ability to develop educational materials and conduct live one-on-one and/or group training
• Office skills including typing, accounting, 10 key entry, filing, computer terminal usage required.
• Ability to communicate to up line and down line staff in a professional and succinct manner.
• Community Health Center office experience a plus

What we offer:

• Competitive Vacation Time
• Paid Holidays
• Medical Benefits
• Dental Benefits
• Vision Plan
• Retirement Plan
• Flexible Spending Account
• Growth Opportunities
  ...and more!

Compensation:
Approximately $27.00 - $33.00 per hour. All individual pay rates are calculated based on the candidate's experience and internal equity.

COVID-19 Vaccine (Required) Religious or Medical Exemptions available via application process.

Clinica Family Health is an Equal Opportunity Employer. We prohibit unlawful discrimination against applicants or employees on the basis of age 40 and over, race, color, religion, national origin, sex, disability, sexual orientation, gender identity, or any other applicable status protected by federal, state, or local laws.