Risk Adjustment Coder Jobs

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Clinical Coding Educator

Humanaβ€’Summerville, SC
β€’Remote

About The Position

The Clinical Coding Educator / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment. As the Clinical Coding Educator / Coding Educator 2 you will arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports. Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provide onsite education, based on business needs. Collaboration with other market provider facing roles. Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data-driven educational materials and interventions. Participate in cross-functional teams to improve documentation, data integrity, and workflow processes. Use your skills to make an impact.

Requirements

  • AHIMA or AAPC CPC (Certified Professional Coder) Certification
  • 3 or more years of medical coding education and / or auditing in a healthcare setting experience
  • Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets
  • Experience speaking with leadership, webinars public speaking and/or presentation skills with healthcare providers
  • Risk Adjustment knowledge
  • Familiar with coding guidelines
  • Live in NC, SC, GA, VA, MD or TN

Nice To Haves

  • Bachelor's Degree
  • CRC -Certified Risk Adjustment Coder
  • Experience working with healthcare providers
  • Strong knowledge of all Microsoft Office applications
  • Valid Driver's license and reliable transportation

Responsibilities

  • Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements.
  • Identify educational needs based on reports.
  • Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques.
  • Provide onsite education, based on business needs.
  • Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards.
  • Analyze coding audit results and other relevant data to develop data-driven educational materials and interventions.
  • Participate in cross-functional teams to improve documentation, data integrity, and workflow processes.

Benefits

  • medical
  • dental
  • vision benefits
  • 401(k) retirement savings plan
  • time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
  • short-term and long-term disability
  • life insurance

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Common questions about Risk Adjustment Coder careers and jobs.

Based on current job postings on Teal, the average Risk Adjustment Coder salary in the US is approximately $80,000 per year, with a typical range of $48,000 to $127,000.
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