Risk Adjustment & Coding Educator

Millennium Healthcare Management Serv LLC; Indiana (PA); Hybrid; USD 77,000 - 116,000; Full time

Benefits offered by this job

3 weeks PTO

Medical, Dental, Vision

401(k) with match

Life & Disability coverage

Employee Wellness

Job summary

Millennium Physician Group seeks a Risk Adjustment Educator to deliver education to providers and staff via sessions, guides, audits, and analytics-driven guidance. You will interpret Risk Adjustment data to identify focus areas and opportunities for improvement, promoting accurate documentation and optimal HCC outcomes.

The role is hybrid with some travel to physician offices across regions; prior CRC certification and ICD-10 expertise are highly valued, along with strong communication and

Qualifications

• Require a Bachelor’s degree or equivalent work experience in a related field.
• 2+ years designing training programs and developing risk adjustment content.
• 2+ years in risk adjustment and ICD-10 coding in Medicare environment.
• CRC or similar certification is highly preferred.
• Strong data analysis and ability to present results to providers.

Responsibilities

• Transform raw data into actionable intelligence to guide education priorities.
• Analyze data, report findings, and provide insights to providers and staff.
• Identify documentation and coding improvement opportunities and advise best practices.
• Analyze provider coding patterns and conduct follow-up audits post-education.
• Apply coding policies and guidelines to documentation reviews.
• Maintain attention to detail and stay updated on guideline changes.
• Collaborate within a team and adapt to shifting priorities.
• Ensure confidentiality and HIPAA compliance in all activities.
• Build relationships with clinical and clerical teams to support risk adjustment initiatives.

Skills

Training program design

Risk adjustment analysis

CRC certification

Excel

PowerPoint

Data visualization

ICD-10-CM knowledge

Time management

Communication skills

Project management

Independent work

Education

Bachelor's Degree or equivalent

CRC certification or equivalent

Tools

Excel

PowerPoint

Job description

Job Description Summary

The 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 & Requirements

Position is a hybrid role; work is remote with some travel to physician offices in the region. We are looking for 3 Educators to cover 3 different regions:Central Region: Beech Grove, Camby, Carmel, Columbus, Greenwood, Indianapolis, Mooresville, & Plainfield.West Region: Brook, Crawfordsville, Lafayette, Rensselaer, West Lafayette, & Wheatfield.North Region: Cedar Lake, Chesterton, Crown Point, Dyer, Hammond, LaPorte, Lowell, Michigan City, Munster, Schererville, St. John, Valparaiso, & Winfield.

Responsibilities

• 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 Adjustment environment.
• Certified Risk Adjustment Coder (CRC) or similar.
• Possess strong critical thinking and analytical skills and an extensive, in‑depth knowledge of the HCC Risk Adjustment models.
• Proven ability to analyze data, present results effectively through provider education, and monitor the effectiveness 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 simple-to-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 commensurate with 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 holidays
Medical, Dental, Vision
Employer Paid Basic Life & Short Term Disability coverage (goes into effect after 1 year of full‑time employment)
401(k) with match
Employee Wellness
Other Employee Discount programs like Tickets at Work and cell phone discounts
Other benefits: Dependent Care FSA, Voluntary Life, Long Term Disability, Critical Illness, Pet Insurance, and more

Why 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

$77,417.00 to $116,126.00 The 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.