Risk Adjustment Auditor Educator
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