MRA Coding and Documentation Educator

Ultipro; Nashville (TN); On-site; USD 70,000 - 100,000; Full time

Job summary

Monogram Health is seeking a MRA Coding & Documentation Educator to support provider education and documentation improvement by delivering training, audits, and collaboration with clinical teams to ensure accurate risk adjustment coding.

The role involves developing disease-specific materials, leading education sessions, reviewing audits, and guiding clinicians toward compliant documentation and timely note closure. A strong background in risk adjustment is essential.

Qualifications

• High School Diploma or GED required.
• CPC or CRC certification required.
• Minimum of 3 years of Medicare Risk Adjustment experience.
• Ability to present to small and mid-sized groups on coding and documentation topics.
• Knowledge of HCC models, risk adjustment, and compliant documentation of diagnosis.
• Current knowledge of CPT, ICD-10, HCPCS, and E/M coding guidelines.

Responsibilities

• Schedule and participate in meetings with POD leadership to review audit results and support accurate diagnosis documentation.
• Develop disease-specific coding and documentation materials including presentations and handouts.
• Manage open encounters and collaborate with APPs and MDs to support timely note closure.
• Assist with provider education sessions, including POD education series and training initiatives.
• Support POD MDs with gap list reviews and documentation opportunities.
• Provide timely communication to providers regarding clinical documentation opportunities and queries.
• Support audit activities through chart review and identification of documentation opportunities.
• Partner with leadership and clinical teams to implement education based on audit findings.

Skills

Medicare Risk Adjustment

Public speaking

Documentation and coding guidelines

STARs metrics

Written and verbal communication

Regulatory knowledge

Education

High School Diploma or GED

Job description

Position: MRA Coding & Documentation Educator

The MRA Coding and Documentation Educator supports provider education and documentation improvement efforts by delivering training, assisting with audits, and collaborating with clinical teams to ensure accurate and compliant risk adjustment coding.

Responsibilities

• Schedule and participate in meetings with POD leadership to review audit results and support accurate diagnosis documentation


• Develop disease-specific coding and documentation materials including presentations and handouts


• Manage open encounters and collaborate with APPs and MDs to support timely note closure


• Assist with provider education sessions, including POD education series and training initiatives


• Support POD MDs with gap list reviews and documentation opportunities


• Provide timely communication to providers regarding clinical documentation opportunities and queries


• Support audit activities through chart review and identification of documentation opportunities


• Partner with leadership and clinical teams to implement education based on audit findings

Position Requirements

• High School Diploma or GED required


• CPC or CRC Certification required


• Minimum of 3 years of Medicare Risk Adjustment experience


• Ability to present to small and mid-sized 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, and E/M coding


• Familiarity with STARs performance measures and metrics


• Written and verbal communication skills, including communication with providers


• 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 - 20 PTO days, 7 paid holidays, and 1 floating day to make your own, and paid parental leave


• Wellness & Growth - Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts

About Monogram Health

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.

Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.

Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.

Equal Opportunity Employer
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