Medicare Risk Adjustment Educator: Train Providers & Boost Compliance

Cano Health LLC; United States; Hybrid; USD 120,000 - 155,000; Full time

Job summary

Cano Health LLC is seeking an MRA Educator to support Medicare Advantage and ACO Reach programs. The role partners with providers, affiliated practices, clinical teams, and revenue cycle to ensure accurate risk adjustment coding through education and documentation review.

The ideal candidate has deep CMS-HCC knowledge, ICD-10 proficiency, and will train staff, monitor coding trends, and drive compliant, high-quality patient care across sites.

Qualifications

• Bachelor’s degree in healthcare, nursing, or a related field.
• CPC certification from AAPC or AHIMA equivalent required.
• Additional AAPC certifications (CRC, CPMA, CDEO) preferred.
• Minimum 3 years in Clinical Documentation Improvement or related roles.
• 5+ years in coding and billing (ICD-10, CPT, HCPCS).
• Strong analytical and data interpretation skills with Excel.

Responsibilities

• Review clinical documentation for completeness and alignment with HCC guidelines.
• Coordinate educational sessions with providers and staff.
• Identify gaps and provide real-time guidance to improve accuracy.
• Abstract clinical data and assign ICD-10-CM codes.
• Conduct onboarding and retraining programs for providers, affiliates, and coding staff.
• Perform regular chart audits to monitor compliance.
• Develop training materials and best practices.
• Collaborate with quality, coding, and operations teams.

Skills

Medicare Risk Adjustment

HCC coding

Interpersonal communication

Training & education

Education

Bachelor's degree in healthcare

CPC certification

AHIMA equivalent

Foreign medical degree (BN/RN) a plus

Tools

Excel

PowerPoint

Database tools

Job description

Cano Health LLC is seeking an MRA Educator to support Medicare Advantage and ACO Reach programs. The role partners with providers, affiliated practices, clinical teams, and revenue cycle to ensure accurate risk adjustment coding through education and documentation review.

The ideal candidate has deep CMS-HCC knowledge, ICD-10 proficiency, and will train staff, monitor coding trends, and drive compliant, high-quality patient care across sites.