HCC Coding Educator
Lee Health
- Fort Myers, Florida, United States
- Fort Myers, Florida, United States
Über
Minimum to Midpoint Pay Rate:$27.57 - $35.84 / hour Summary The HCC Coding Educator is responsible for improving the accuracy, completeness, and compliance of risk-adjustment documentation through targeted provider education, documentation review, and performance monitoring. This role supports Medicare Advantage, ACO, and other risk-based contracts by ensuring Hierarchical Condition Category (HCC) capture accurately reflects patient acuity while remaining fully compliant with CMS and payer audit standards. The position serves as a clinical documentation and coding subject-matter expert, partnering with providers, care management teams, and compliance leadership to optimize risk adjustment outcomes and reduce audit exposure. Requirements Education: Associates degree in health information management, nursing, healthcare administration or related field required. Experience: Minimum of 3 years experience in HCC coding and risk adjustment. Minimum of 3 years experience in Medicare Advantage, MSSP, ACO or other value-based care models. Demonstrated experience providing provider education or coding feedback. Experience reviewing outpatient clinical documentation for risk adjustment. Certification: CRC, CPC, CCS, COC, RHIA or RHIT required. License: N/A Other: US:FL:Fort Myers
Sprachkenntnisse
- English
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