Risk Adjustment Auditor Educator

Job Summary

A company is looking for a Risk Adjustment Auditor Educator.

Key Responsibilities

• Conduct provider medical record audits and analyze coding patterns to ensure accurate CMS payment
• Educate and train providers on risk adjustment coding and compliance with CMS guidelines
• Analyze MRA data to identify patterns and develop interventions for provider education

Required Qualifications, Training, and Education

• Bachelor's degree or equivalent experience required
• 5+ years of experience in a hospital, physician setting, or Managed Care Organization as a medical coder
• 2+ years of experience in coding with knowledge of Medicare risk adjustment (HCC Coding)
• Experience in teaching, training, or an educator/instructor role required; provider education experience preferred
• Licensure in CPC or CCS required; CRC required within the first year of employment