Risk Adjustment Education Lead (Hybrid-Remote)

Strive Health; Denver (CO); Hybrid; USD 74,000 - 90,000; Full time

Benefits offered by this job

Hybrid-Remote Flexibility

Comprehensive Benefits

Financial & Retirement Support

Time Off & Leave

Wellness & Growth

Job summary

Strive Health is seeking a Risk Adjustment Documentation & Coding Educator to lead education and coaching across affiliated practices. You will guide coding reviews, develop training, and partner with compliance to ensure accurate documentation and compliant workflows.

The role combines virtual education with periodic onsite work, offering hybrid-remote flexibility and a comprehensive benefits package. A strong background in risk adjustment and CMS guidelines is required.

Qualifications

• 6+ years combined related education, experience, or certification in risk adjustment coding or related healthcare discipline.
• Experience translating coding findings into targeted education, coaching, and remediation plans.
• Extensive knowledge of CMS and AMA coding standards, Medicare Advantage risk adjustment, CKCC, HCC models, ICD-10-CM guidelines.
• Strong analytical skills to identify trends and communicate findings to diverse audiences.
• Exceptional presentation, facilitation, written, and verbal communication skills.
• Ability to travel and be onsite to meet business needs.

Responsibilities

• Build trusted relationships with network practice coders, coding leaders, providers, regional clinical leaders, and operational partners to understand workflows and provide practical support.
• Conduct targeted prospective and retrospective medical record reviews across applicable risk adjustment and documentation workflows to evaluate coding accuracy, completeness, specificity, clinical support, annual reassessment.
• Deliver individual and group education sessions, primarily through virtual platforms, for providers, coding teams, and leadership on risk adjustment, HCC documentation, ICD-10-CM guidelines, clinical documentation requirements, compliant query practices, CMS expectations, and value-based care initiatives.
• Analyze coding performance indicators, error trends, documentation gaps, and coding patterns to identify high-risk clinical areas, provider opportunities, and targeted educational needs.
• Translate coding and documentation findings into prioritized coaching, remediation strategies, and scalable education programs.
• Support onboarding, office hours, case reviews, peer learning sessions, and individualized follow-up education as needed.
• Develop and maintain training materials, presentations, job aids, feedback tools, frequently asked questions, and educational resources. Support education and governance for point-of-care coding and documentation tools, reinforcing clinical validation, supporting documentation, and compliant use of prompts and suggestions.
• Partner with Network Engagement and Risk Adjustment leadership to scale consistent education across affiliated practices. Provide insights that inform peer-to-peer coaching for regional medical directors and other clinical leaders.
• Collaborate with Compliance, Legal, Coding Operations, Analytics, Informatics, and Product teams to ensure guidance and education are accurate, practical, consistent, and aligned with approved program scope.
• Travel periodically to meet network partners, support onsite education, and facilitate business priorities as needed.

Skills

Risk adjustment coding

Clinical documentation improvement

Provider education

Medical record review

Coding compliance

CMS guidelines

Communication skills

Travel readiness

Education

Health information management

Healthcare administration

Nursing degree

Public health degree

Job description

Strive Health is seeking a Risk Adjustment Documentation & Coding Educator to lead education and coaching across affiliated practices. You will guide coding reviews, develop training, and partner with compliance to ensure accurate documentation and compliant workflows.

The role combines virtual education with periodic onsite work, offering hybrid-remote flexibility and a comprehensive benefits package. A strong background in risk adjustment and CMS guidelines is required.