Risk Adjustment Coding & 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

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.