Provider Education & Coding Specialist

MCS Puerto Rico; San Juan (PR); On-site; USD 55,000 - 75,000; Full time

Job summary

MCS Puerto Rico is seeking an Education Specialist to train internal and external clients on operational topics including the CMS-HCC risk adjustment model. You will develop educational materials, deliver sessions in person or virtually, and visit medical offices to improve documentation and coding processes.

The role requires a bachelor’s or associate degree with several years of experience in medical coding/education, travel across the island, and the ability to work extended hours as needed.

Qualifications

• Bachelor’s degree in health-related fields and at least two years of experience extracting diagnoses and procedures; interpreting medical records for coding.
• Associate’s degree in Health Information Management Technology or related field with at least four years of experience in coding and education.
• Valid driver’s license in Puerto Rico required; coding certifications (CCA/CCS/CCS-P) preferred.
• Willingness to travel around the Island and work extended hours, holidays, and weekends as needed.
• Spanish – Intermediate; English – Intermediate.

Responsibilities

• Evaluates referrals to identify educational needs of providers and internal customers; establishes the educational plan.
• Develops presentations and educational materials based on requests and work plans.
• Delivers education to internal and external clients through in-person, phone, virtual, and online modalities.
• Visits medical offices to educate providers and staff on documentation and coding improvement.
• Supports IPAs administrators and PCPs in group education activities.
• Submits regular reports on educational interventions and maintains AHIMA coding guidance compliance.

Skills

Public speaking

Education planning

Education

Bachelor's degree

Associate's degree

Job description

MCS Puerto Rico is seeking an Education Specialist to train internal and external clients on operational topics including the CMS-HCC risk adjustment model. You will develop educational materials, deliver sessions in person or virtually, and visit medical offices to improve documentation and coding processes.

The role requires a bachelor’s or associate degree with several years of experience in medical coding/education, travel across the island, and the ability to work extended hours as needed.