Risk Adjustment Documentation & Coding Educator

Strive Health • Denver, CO

17h • Hybrid

About The Position

At Strive Health, patients come first. We’re on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey. Our work reduces emergency visits, improves outcomes, and helps patients live fuller lives. You’ll work alongside passionate Strivers who care deeply about making an impact, show up for one another as One Team, and find ways to elevate the everyday. If you’re looking for meaningful work where your contributions truly matter, you’ll feel right at home at Strive!

What You’ll Do
Build trusted working relationships with network practice coders, coding leaders, providers, regional clinical leaders, and operational partners to understand workflows, identify needs, and provide practical support. Conduct targeted prospective and retrospective medical record reviews across applicable risk adjustment and documentation workflows to evaluate coding accuracy, completeness, specificity, clinical support, annual reassessment. Deliver individual and group education sessions, primarily through virtual platforms, for providers, coding teams, and leadership on risk adjustment, HCC documentation, ICD-10-CM guidelines, clinical documentation requirements, compliant query practices, CMS expectations, and value-based care initiatives. Analyze coding performance indicators, error trends, documentation gaps, and coding patterns to identify high-risk clinical areas, provider opportunities, and targeted educational needs. Translate coding and documentation findings into prioritized coaching, remediation strategies, and scalable education programs. Support onboarding, office hours, case reviews, peer learning sessions, and individualized follow-up education as needed. Develop and maintain training materials, presentations, job aids, feedback tools, frequently asked questions, and educational resources. Support education and governance for point-of-care coding and documentation tools, reinforcing clinical validation, supporting documentation, and compliant use of prompts and suggestions. Partner with Network Engagement and Risk Adjustment leadership to scale consistent education across affiliated practices. Provide insights that inform peer-to-peer coaching for regional medical directors and other clinical leaders. Collaborate with Compliance, Legal, Coding Operations, Analytics, Informatics, and Product teams to ensure guidance and education are accurate, practical, consistent, and aligned with approved program scope. Ensure compliance with all regulatory standards for risk adjustment, including CMS guidelines, ICD-10-CM coding conventions, documentation integrity requirements, and applicable federal and state regulations. Travel periodically to meet network partners, support onsite education, and facilitate business priorities as needed.

Requirements

• Active Certified Risk Adjustment Coder (CRC) certification required.
• 6+ years combined related education, experience, or certification, including experience in risk adjustment coding, clinical documentation improvement, provider education, medical record review, coding compliance, or related healthcare discipline.
• Demonstrated experience translating coding and documentation findings into targeted education, coaching, and remediation plans.
• Extensive knowledge of coding and documentation standards established by the Centers for Medicare & Medicaid Services (CMS) and the American Medical Association (AMA), as well as Medicare Advantage risk adjustment, CKCC, HCC models, ICD-10-CM coding guidelines, and clinical documentation requirements.
• Strong analytical skills with the ability to identify trends, evaluate root causes, and communicate findings effectively to diverse audiences.
• Exceptional presentation, facilitation, written, and verbal communication skills.
• Ability to develop strong relationships with providers, coding teams, operational leaders, and external partners.
• Ability to work independently, manage multiple priorities, and thrive in a fast-paced, matrixed environment.
• Ability to travel and be onsite to meet business needs, with reliable transportation and an active driver’s license as applicable.
• Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms.

Nice To Haves

• Certified Professional Medical Auditor (CPMA), or another relevant AHIMA or AAPC credential.
• Experience supporting affiliated practices, delegated provider groups, accountable care organizations, managed care, population health, or other value-based care programs.
• Experience with CKCC, P4P, Medicare Advantage, ESRD, ACA, or other risk-adjusted programs.
• Experience with documentation integrity programs, prospective or retrospective chart review, or remediation standards.
• Experience supporting coding and documentation tools, EHR workflows, or point-of-care technologies.
• Associate or bachelor’s degree in health information management, healthcare administration, nursing, public health, or related field.
• Experience educating or coaching network practice coders, coding teams, providers, or other clinical and operational stakeholders.

Responsibilities

• Build trusted working relationships with network practice coders, coding leaders, providers, regional clinical leaders, and operational partners to understand workflows, identify needs, and provide practical support.
• Conduct targeted prospective and retrospective medical record reviews across applicable risk adjustment and documentation workflows to evaluate coding accuracy, completeness, specificity, clinical support, annual reassessment.
• Deliver individual and group education sessions, primarily through virtual platforms, for providers, coding teams, and leadership on risk adjustment, HCC documentation, ICD-10-CM guidelines, clinical documentation requirements, compliant query practices, CMS expectations, and value-based care initiatives.
• Analyze coding performance indicators, error trends, documentation gaps, and coding patterns to identify high-risk clinical areas, provider opportunities, and targeted educational needs.
• Translate coding and documentation findings into prioritized coaching, remediation strategies, and scalable education programs.
• Support onboarding, office hours, case reviews, peer learning sessions, and individualized follow-up education as needed.
• Develop and maintain training materials, presentations, job aids, feedback tools, frequently asked questions, and educational resources.
• Support education and governance for point-of-care coding and documentation tools, reinforcing clinical validation, supporting documentation, and compliant use of prompts and suggestions.
• Partner with Network Engagement and Risk Adjustment leadership to scale consistent education across affiliated practices.
• Provide insights that inform peer-to-peer coaching for regional medical directors and other clinical leaders.
• Collaborate with Compliance, Legal, Coding Operations, Analytics, Informatics, and Product teams to ensure guidance and education are accurate, practical, consistent, and aligned with approved program scope.
• Ensure compliance with all regulatory standards for risk adjustment, including CMS guidelines, ICD-10-CM coding conventions, documentation integrity requirements, and applicable federal and state regulations.
• Travel periodically to meet network partners, support onsite education, and facilitate business priorities as needed.

Benefits

• Medical, dental, and vision insurance
• Employee assistance programs
• Employer-paid and voluntary life and disability insurance
• Health and flexible spending accounts
• Competitive compensation with a performance-based bonus program
• 401k with employer match
• Financial wellness resources
• Paid holidays
• Vacation time
• Sick time
• Paid birthgiving, bonding, sabbatical, and living donor leaves
• Family forming services through Maven Maternity at no cost
• Physical wellness perks
• Mental health support
• Annual professional development stipend

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree