Medicare Risk Adjustment Provider Educator chez Complete Health Partners

Location: Richmond, VA with travel to corporate office in Jacksonville, FL as necessary 

Schedule: Monday-Friday

Pay Range: $60,000-80,000 per year, dependent on experience

Be part of our growing regional company whose main objective is putting our patients first. The provider educator is responsible for identifying opportunities to improve coding, documentation and quality of care. The educator will customize an education plan customized for each provider.

Position overview:

Plan, conduct and coordinate all aspects of MRA process evaluation and education to internal and external partners, including but not limited to:

• Communicating a comprehensive understanding of Medicare Risk Adjustment, Documentation & Coding guidelines to both external/internal partners while ensuring compliance with regulatory.
• Analyze reports to identify and report documentation/coding trends in order to create opportunities for improvement with internal and external partners.
• Ensure provider documentation and diagnostic code selections are appropriate and recommend improvements as necessary, including system-view recommendations based on EMR scope
• Continually assess the knowledge and appropriate application of ICD-10 documentation and coding guidelines
• Leverage reporting benchmarks and MRA success measures to prioritize efforts
• Demonstrate a professional and effective face to face communication style and address issues as they arise
• Act promptly in routine situations while building productive relationships and establish rapport.
• Guide business and leadership in process improvement
• Strong attention to detail and time management skills
• Ability to function autonomously and problem solve complex issues