People want to be treated like individuals. At Cigna, we get that. That’s why
we embrace and encourage peoples’ uniqueness, helping to give them the
strength and confidence to show the world who they really are. The coverage,
expertise and services we provide are at the very core of how we help people
achieve their full potential – and ultimately, improve their health, well-
being and sense of security.But before we can accomplish any of that, we have
to have the right people in place. People like you.Skills, experience, talent
and creativity like yours enables us to develop the meaningful, innovative
solutions our customers value and expect. That’s why we’re committed to
recruiting, motivating and nurturing the best and the brightest, whether you
have industry experience or not. We’re growing a workforce as unique and
diverse as the millions of customers we proudly serve around the world – one
individual at a time.Responsibilities:HealthSpring, a Cigna company, is one of
the country's leading health plans focused on delivering care to the senior
population, predominately through Medicare Advantage and other Medicare and
Medicaid products. Along with its companies Bravo Health and Leon Medical
Centers Health Plans, HealthSpring serves more than one million customers in
locations across the country. Based in Nashville, Tennessee, HealthSpring
operates health plans in Alabama, Delaware, Florida, Georgia, Illinois,
Maryland, Mississippi, New Jersey, Pennsylvania, Tennessee, Texas, West
Virginia and Washington, D.C. HealthSpring also offers a national stand-alone
prescription drug plan. For more information, visitwww.cigna.com.Provider
Education SpecialistTheProvider Education Specialistis responsible for
providing education and training to physician groups/offices on correct coding
initiatives, , reporting on findings resulting from chart audits, ensuring
accurate data entry for CMS submission, and providing education and training
to physician groups/offices on correct coding initiatives.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.Minimum Requirements:At least two
years’ of hospital inpatient / outpatient or medical office coding experience
is required.Some type of coding certification is also required and may include
the following:Certified Professional Coder (CPC),Certified Coding Specialist
for Providers (CCS-P),Certified Coding Specialist for Hospitals
(CCS-H),Registered Health Information Technician (RHIT),Registered Health
Information Administrator (RHIA), or nursing medical background.Additional
responsibilities include:Extensive knowledge of ICD-9-CM and/or CPT coding
principles and guidelines (Diagnostic coding experience is highly
preferred)Familiarity with physician-specific regulations and polices related
to documentation and coding.Experience with   Medicare Risk Adjustment
guidelines.Prior audit/quality experience.Prior experiences teaching/training
others on correct coding guidelines and/or have the ability to present to
large groups of Physicians/Providers.Microsoft Office expertise including
Word, Excel and Power Point applications that will be used to develop and
present training materialPreferred Requirements:Bachelor’s degree.
Proficiency with DRG optimization.  Licensed Practical Nurse (LPN) / Licensed
Vocational Nurse (LVN), or Registered Nurse (RN).Please Note:  Travel will be
required for this position and the viable candidate needs to be available for
day and evening sessionsCIGNA offers a competitive compensation and
comprehensive benefits package including health and wellness benefits, 401k
plan, and work/life balance programs, as well as opportunities for career
growth and development.We encourage you to complete all questions on the
candidate profile if you wish to be considered for this opportunity.CIGNA is
an Equal Opportunity Employer