Provider Coding Educator

Suvida Healthcare LLC; Houston (TX); On-site; USD 70,000 - 90,000; Full time

Job summary

A healthcare organization in Houston is seeking a Physician Coding Educator to develop and deliver education programs on risk adjustment coding practices. You will ensure compliance with guidelines and support quality care through effective training. The ideal candidate will have 3-5 years of coding experience, a CPC certification and strong communication skills. This role is integral to our commitment to compassionate care for seniors.

Benefits

Free Mental Health & Life Coaching

401k Retirement Plan with Company Match

Paid Community Service Day

Generous Paid Time Off

Qualifications

• Minimum of 3-5 years of experience in medical coding with a focus on risk adjustment.
• Proven experience in educational program development and training delivery.
• Ability to analyze data and generate actionable insights.

Responsibilities

• Design and implement educational materials focused on risk adjustment coding.
• Conduct training sessions with physicians and healthcare providers.
• Monitor coding accuracy and documentation practices.

Skills

Strong understanding of CMS guidelines

Detail-oriented

Effective communication skills

Proficient in EHR systems

Problem-solving abilities

Education

Bachelor’s degree in Health Information Management or related field

Certified Professional Coder (CPC)

MD, DO, NP, or PA license

Tools

Coding software

EHR systems

Job description

Overview

At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well-being of an underserved community and their families. Our multi-disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare-eligible Hispanic seniors.

Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both, our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service-centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos, to help achieve our Higher Purpose?

What Makes Us Unique

We are an empowered primary care team, clinical operations, and support team creating health equity through an exceptional clinical and consumer experience that improves the quality of life for the people, families, and neighborhoods we serve. We tailor our primary care program to the culture, language, social, and overall well-being of the seniors we serve.

How We Work

Our Culture & Core Beliefs

• Earn Trust
• Building Relationships
• Creating Joy
• Doing Right
• Improving Every Day
• Moving Forward
• Competitive Pay
• Free Mental Health & Life Coaching for Team Members and their Dependents
• Holiday Time Off with Pay
• Paid Community Service Day
• Paid Parental/Family Leave
• Generous Paid Time Off (PTO)
• 401k Retirement Plan with Company Match
• And much more....

What You’ll Do

Position Summary

The Physician Coding Educator is responsible for developing and delivering comprehensive education programs on risk adjustment coding practices to physicians and other healthcare providers. This role ensures that providers understand and comply with risk adjustment guidelines to optimize accurate documentation and coding, which in turn supports quality care to patients.

Responsibilities

• Design and implement educational materials and programs focused on risk adjustment coding and documentation.
• Create training manuals, e-learning modules, presentations, and other educational tools.
• Conduct one-on-one, group, and virtual training sessions with physicians and healthcare providers.
• Provide ongoing education and support to ensure continuous improvement and adherence to coding standards.
• Stay current with changes in risk adjustment coding guidelines, industry standards, and best practices.
• Participate in professional development opportunities and maintain relevant certifications.
• Monitor coding accuracy and documentation practices through regular audits.
• Identify areas of improvement and provide feedback to healthcare providers.
• Ensure compliance with CMS guidelines, HCC (Hierarchical Condition Categories), and other regulatory requirements.
• Work closely with the risk adjustment team, coding staff, and clinical leadership to identify educational needs.
• Collaborate with IT and EHR teams to optimize system functionalities that support accurate coding.
• Analyze data to identify trends and areas for educational focus.
• Prepare reports on educational activities, compliance issues, and outcomes of training programs.

What You’ll Bring

Knowledge, Skills, and Abilities

• Bachelor’s degree in Health Information Management, Nursing, or related field.
• Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) required.
• MD, DO, NP, or PA license with experience in Value-Based Care
• Experience working in a clinical setting or with physician practices.
• Additional certifications such as CCS (Certified Coding Specialist) or RHIT (Registered Health Information Technician).
• Ability to travel.

Education, Experience, Licensure, or Certification Requirements

• Minimum of 3-5 years of experience in medical coding, with a focus on risk adjustment.
• Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) required.
• Proven experience in educational program development and training delivery.
• Strong understanding of CMS guidelines, HCC coding, and risk adjustment processes.
• Excellent communication, presentation, and interpersonal skills.
• Proficient in using electronic health record (EHR) systems and coding software.
• Ability to analyze data and generate actionable insights.
• Detail-oriented with strong analytical skills.
• Ability to work independently and as part of a team.
• Strong problem-solving abilities and proactive approach to addressing issues.
• High level of integrity and commitment to ethical standards.

Suvida Healthcare provides equal employment opportunities to all Team Members and applicants for employment and prohibits discrimination and harassment of any type with regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.