Risk Adjustment Documentation & Coding Educator (CRC Required)
Core
Conduct training and education for providers on risk adjustment documentation and coding to support value-based care initiatives and Medicare programs.
Role type
Senior IC Risk Adjustment Documentation & Coding Educator
Builds
Educational programs and coding accuracy for Medicare Shared Savings Program and Medicare Advantage
Domain
Healthcare / Risk Adjustment / Medical Coding
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
ICD-10-CM coding, CPT coding, HCPCS coding, HCC Risk Adjustment model, medical record auditing, provider query processes, EHR workflows, regulatory compliance (CMS/NCDs/LCDs), data analysis
Preferred skills
Extensive presentation experience, relationship building with clinicians, chronic condition gap analysis
Technologies
MS Office Suite, Electronic Medical Records, Encoder, Coding Clinic, G-Suite
Responsibilities
Conduct training with individual and large provider groups virtually, analyze coding performance indicators and audit error rates, perform prospective and retrospective medical record chart audits, generate audit findings and error reports, identify training priorities and schedule provider trainings, act as internal subject matter expert for risk adjustment and coding documentation
Seniority
Senior, hands-on IC
