Risk Adjustment & Coding Educator

Millennium Physician Group; Bloomington (IN); Hybrid; USD 77,000 - 116,000; Full time

Benefits offered by this job

Health benefits

401(k) with match

Paid time off

Dental & Vision

Short Term Disability

Job summary

Millennium Physician Group seeks a Risk Adjustment Educator to deliver education to providers and staff, translating data into actionable insights. The role analyzes coding patterns, conducts post-education audits, and guides best practices to improve documentation and HCC opportunities.

Hybrid role with remote work and travel to regional physician offices; requires CRC or similar certification and strong analytical, Excel, and PowerPoint skills.

Qualifications

• Bachelor’s degree or equivalent work experience required.
• 2+ years in training program design and development.
• 2+ years in risk adjustment and ICD-10 coding in Medicare Risk Adjustment environment.
• CRC or similar certification.
• Strong analytical and data presentation skills.
• Advanced Excel (Pivot, VLOOKUP, formulas).
• Proficient PowerPoint for impactful visuals.
• In-depth ICD-10-CM knowledge.

Responsibilities

• Transform raw data into actionable intelligence to prioritize education.
• Analyze provider coding patterns and conduct follow-up audits.
• Provide guidance on best practice risk adjustment strategies.
• Monitor education effectiveness and track improvements.
• Maintain knowledge of documentation guidelines and HIPAA rules.
• Collaborate with clinical and clerical teams and communicate findings.

Skills

Data analysis

Critical thinking

Communication skills

Time management

Independent work

Audit & education follow-up

Excel (Pivot, VLOOKUP)

PowerPoint

ICD-10 coding knowledge

HIPAA compliance

Education

Bachelor’s degree or equivalent

Certified Risk Adjustment Coder (CRC) or similar

Tools

Excel

PowerPoint

Job description

Job Description SummaryThe Risk Adjustment & Coding Educator provides Risk Adjustment education to providers and all support staff through a variety of mediums including direct interactive learning sessions individually or in group settings, written guides and protocols, audits, etc. This role will provide analytical interpretation of Risk Adjustment data to determine areas of focus and improvement opportunities. In addition, this role will facilitate and provide detailed analysis, reporting, training, education, and support to Providers and staff to promote accurate clinical documentation along with HCC opportunities identified via performed analysis.How will you make an impact & RequirementsPosition is a hybrid role; work is remote with some travel to physician offices in the region. North Region: Cedar Lake, Chesterton, Crown Point, Dyer, Hammond, LaPorte, Lowell, Michigan City, Munster, Schererville, St. John, Valparaiso, & WinfieldResponsibilities• Transforms raw data into actionable intelligence to prioritize provider education and risk adjustment initiatives.• Possesses a proven ability to analyze, report, and provide data insights.• Identifies documentation and coding improvement opportunities and gives guidance around best practice strategies in risk adjustment performance.• Analyzes provider coding patterns and performs follow-up audits post-education to track documentation and coding improvement.• Demonstrates knowledge and an ability to apply coding policies and guidelines to the provider documentation review process.• Possesses excellent attention to detail.• Stays current on applicable documentation guideline changes and rules.• Works effectively and efficiently within a team environment.• Adaptable to shifting priorities and demonstrates a willingness to do what it takes to meet team needs.• Understands and complies with policies and procedures for confidentiality of all patient records, HIPAA, and security of systems.• Promotes Millennium Physician Group’s values.• Build relationships with the clinical and clerical teams to ensure open communication for questions concerning the Risk Adjustment program and its components• Demonstrate excellent guest service to internal team members and patients.• Perform other related duties as assigned.Qualifications• Bachelor’s Degree or equivalent work experience.• 2+ years of experience in training program design and development• 2+ years of experience in risk adjustment and ICD-10 coding in the Medicare Risk Adjustmentenvironment• Certified Risk Adjustment Coder (CRC) or similar.• Possess strong critical thinking and analytical skills and an extensive, in-depth knowledge of the HCCRisk Adjustment models.• Proven ability to analyze data, present results effectively through provider education, and monitor theeffectiveness of the education provided.• Strong communication skills.• Intermediate Excel skills (Pivot tables, VLOOKUP, Advanced formulas, etc.) and data visualization skills.• Intermediate Microsoft PowerPoint skills with the ability to transform analytical output into simpleto-understand visuals.• In-depth knowledge of ICD-10-CM diagnostic coding.• Must have excellent time management skills, be highly organized, self-motivated.• Excellent customer service, problem-solving skills, and attention to detail.• The ability to follow through timely on tasks is essential.• Possess excellent written, verbal, and interpersonal communication skills.• Must possess initiative; tact; poise; neat personal appearance; and physical condition commensuratewith the requirements of the position.• Project management of multiple initiatives with the ability to prioritize and meet deadlines.• Ability to work independently in a fast-paced, cross-functional environment.Benefits:3 weeks PTO & 8 paid holidaysMedical, Dental, VisionEmployer Paid Basic Life & Short Term Disability coverage (goes into effect after 1 year of full-time employment)401(k) with matchEmployee WellnessOther Employee Discount programs like Tickets at Work and cell phone discountsOther benefits: Dependent Care FSA, Voluntary Life, Long Term Disability, Critical Illness, Pet Insurance, and moreWhy Millennium?Millennium Physician Group is one of the largest comprehensive primary care practices with healthcare providers throughout Florida.At Millennium Physician Group, you will find an organization that focuses on family and building a strong network of people to care for the communities we serve. We are always searching for employees who have a strong customer service attitude, fantastic teamwork skills and a willing smile ready to share.Our promise is to provide you with the tools to do your job successfully, as well as providing a team atmosphere that empowers you to seek better ways to deliver care to our patients and their families. We also promise to care for you as an individual, and help you grow in your role with Millennium Physician Group.If you are interested in joining an organization that puts an emphasis on team work and family, then Millennium Physician Group is the right choice.Compensation Range:$77,417.00to$116,126.00The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.