Indiana Licensed Risk Adjustment Educator

Job Summary

To enhance provider education, the full-time Indiana Licensed Risk Adjustment Educator will deliver training and support remotely while traveling to physician offices, focusing on risk adjustment data analysis and documentation improvement.

Key responsibilities

• Transforms raw data into actionable intelligence to prioritize provider education and risk adjustment initiatives
• Identifies documentation and coding improvement opportunities and provides guidance on best practices
• Analyzes provider coding patterns and conducts follow-up audits to track improvements post-education

Required qualifications

• Bachelor's Degree or equivalent work experience
• 2+ years of experience in training program design and development
• 2+ years of experience in risk adjustment and ICD-10 coding in the Medicare Risk Adjustment environment
• Certified Risk Adjustment Coder (CRC) or similar certification
• Strong analytical skills with in-depth knowledge of HCC Risk Adjustment models