Risk Adjustment Auditor Educator - Remote

Overview

The Risk Adjustment Auditor Educator is responsible for ensuring accurate coding and documentation in alignment with risk adjustment models, conducting audits, and providing education to healthcare providers and coders.

In Short

• Full-time position with a focus on risk adjustment coding.
• Conduct audits and analyze trends in clinical documentation.
• Educate providers and coders on compliance with regulations.
• Five or more years of experience required in risk adjustment auditing.
• Strong communication and analytical skills are essential.
• Certified Risk Adjustment Coder (CRC) and Certified Professional Medical Auditor (CPMA) required.
• Utilize Microsoft Excel for audit results and trends.
• Remote work with potential local travel.
• Collaborate with coding staff for accurate documentation.
• Participate in curriculum development for education delivery.

Requirements

• 5+ years of experience in risk adjustment auditing and education.
• Certification in Risk Adjustment Coding and Auditing.
• Strong knowledge of CMS guidelines and regulatory requirements.
• Ability to work in a virtual environment.
• Expertise in problem-solving and critical thinking.
• Experience in developing educational materials.
• Strong written and verbal communication skills.
• Analytical skills for assessing coding accuracy.
• Ability to conduct audits and provide feedback.
• Familiarity with healthcare regulations and compliance standards.

Benefits

• Competitive salary based on experience.
• Remote work flexibility.
• Opportunity to impact healthcare documentation quality.
• Supportive work environment with a focus on professional development.
• Engagement with a large healthcare system.
• Comprehensive benefits package.
• Commitment to community health initiatives.
• Access to training and educational resources.
• Work with a diverse team of professionals.
• Opportunity for career advancement.