Risk Adjustment Coder Educator - Clinical Integration

Hartford HealthCare at Home; Hartford (CT); On-site; USD 85,000 - 110,000; Full time

Job summary

Hartford HealthCare at Home seeks a Risk Adjustment Coder Educator to develop and implement enterprise-wide coding education ensuring CMS compliance and accurate ICD-10 coding across contracted providers.

Responsibilities include leading complex training programs, delivering education in various settings, and driving improvements in documentation and data capture for Medicare Risk Adjustment. On-site visits in Connecticut required.

Qualifications

• Bachelor's degree or equivalent work experience required.
• 3–5 years of medical claims coding experience required.
• Certifications: CPC/CCS-P/CCS; CRC preferred within 6 months of hire.
• Strong written and verbal communication; ability to train others effectively.
• On-site auditing and training with reliable transportation and valid driver's license.

Responsibilities

• Oversees development of ICD-10/HCC coding training programs and materials.
• Implements documentation and coding education for Medicare Advantage contracted providers.
• Identifies processes to capture data for Medicare Risk Adjustment.
• Builds relationships with providers to improve documentation and coding accuracy.
• Develops strategies for knowledge transfer and testing to measure outcomes.
• Provides individualized education to physicians and tracks performance over time.
• Creates train-the-trainer guides and participant materials.
• Maintains face-to-face communication and addresses issues as they arise.
• Supports team by providing resources and removing obstacles.

Skills

Medical claims coding

Risk adjustment

Education

Bachelor's degree or equivalent

Medical Coding Certification (CPC/CCS-P/CCS)

CRC (preferred within 6 months)

Job description

Hartford HealthCare at Home seeks a Risk Adjustment Coder Educator to develop and implement enterprise-wide coding education ensuring CMS compliance and accurate ICD-10 coding across contracted providers.

Responsibilities include leading complex training programs, delivering education in various settings, and driving improvements in documentation and data capture for Medicare Risk Adjustment. On-site visits in Connecticut required.