MRA Coding and Documentation Educator Lead

Monogram Health • Nashville, TN

12d

About The Position

The MRA Coding & Documentation Educator Lead is responsible for driving
enterprise-wide education strategy, audit oversight, and provider engagement
related to risk adjustment coding and documentation. This role partners closely
with POD leadership, clinical teams, and organizational leadership to improve
documentation accuracy, ensure compliance, and optimize risk adjustment
performance.

Requirements

• High School Diploma or GED
• CPC or CRC Certification required
• Minimum of five (5) years of Medicare Risk Adjustment Education experience including three (3) years of Medicare Risk Adjustment experience
• Demonstrated ability to present to small and large groups on coding and documentation topics
• Knowledge of HCC models, risk adjustment, and compliant documentation of diagnosis and Category II codes
• Advanced knowledge of medical terminology, anatomy, and physiology
• Maintains current knowledge of regulatory, documentation, and coding guidelines including CPT, ICD-10, HCPCS, E/M coding, auditing, and education
• Familiarity with STARs performance measures and metrics
• Written and verbal communication skills, including effective communication with physicians and senior leadership
• Up to 70% travel required for onsite education, meetings, and presentations

Responsibilities

• Schedule and lead meetings with POD leadership to review audit results and provide guidance on accurate diagnosis documentation
• Create disease-specific coding and documentation materials including presentations, handouts, and POD education series
• Manage open encounters and partner with APPs and MDs to support timely note closure
• Deliver New Employee Orientation (NEO) MRA education, pre- and post-training sessions, and Grand Rounds presentations
• Assist POD MDs with gap list reviews and documentation opportunities
• Provide timely correspondence to providers regarding clinical documentation opportunities and queries
• Identify trends through data analysis and chart review; evaluate existing policies and develop new policies with recommendations to improve outcomes
• Partner closely with Clinical Coaches to design and deliver education based on clinical and coding audit findings
• Maintain audit tracking systems and report key metrics, trends, and findings to leadership
• Serve as subject matter expert on risk adjustment documentation and coding practices across the organization
• Provide guidance and mentorship to coding educators and clinical partners

Benefits

• Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
• Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
• Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
• Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 251-500 employees