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Community Care Cooperative (C3)Posted 10/21/2026full-timeRemote • Massachusetts • United StatesMid-LevelSenior💰 $68,806 - $80,847 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in risk adjustment methodologies, clinical documentation integrity, and provider education within value-based care frameworks. Proficient in analyzing performance data and delivering effective training and coaching to enhance coding accuracy and documentation practices.
Highest-signal resume keywords
AAPC Certified Professional Coder (CPC)CMS-HCC Risk Adjustment MethodologiesICD-10-CM Coding PrinciplesProvider Education and TrainingData Analysis and Performance Improvement
About the role
Key responsibilities & impact- Design, develop, and deliver provider education programs focused on risk adjustment documentation, coding accuracy, clinical documentation integrity, and value-based care performance
- Create educational materials, provider training curricula, presentations, job aids, coding reference tools, and provider-facing resources
- Conduct educational provider documentation and coding reviews to identify improvement opportunities
- Analyze coding, claims, RAF, quality, utilization, and population health data to identify performance trends and educational opportunities
- Partner with participating health centers to improve documentation practices, coding outcomes, and value-based reimbursement performance
- Provide individualized coaching, mentorship, and education to underperforming providers
- Collaborate with the Senior Director of Risk Adjustment, Senior Medical Director, clinical leadership, and operational teams
- Educate providers on CMS-HCC, DxCG, and other risk adjustment methodologies across Medicare, Medicaid, MSSP, ACO, and value-based care contracts
- Educate providers and health center teams on the CMS-HCC Version 28 model and its documentation requirements
- Deliver annual ICD-10-CM code update education
- Support documentation and coding improvement initiatives across participating health centers
- Monitor provider education effectiveness and recommend process improvements
- Serve as a coding and documentation resource for providers, health center leadership, and internal stakeholders
- Maintain current knowledge of CMS regulations, ICD-10-CM coding guidelines, risk adjustment methodologies, clinical documentation standards, and value-based care best practices
- Support initiatives related to Medicare Advantage, MassHealth ACO, MSSP, Medicaid, and other value-based reimbursement programs
Requirements
What you’ll need- Bachelor's degree in Healthcare Administration, Public Health, Health Information Management, Nursing, Business Administration, or a related healthcare field required
- AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS) required
- AAPC Certified Risk Adjustment Coder (CRC) preferred
- Minimum of 3–5 years of progressive experience in risk adjustment, medical coding, clinical documentation improvement, provider education, population health, value-based care, or healthcare consulting
- Demonstrated experience educating physicians, advanced practice providers, and clinical teams on documentation and coding best practices
- Demonstrated experience with CMS-HCC risk adjustment methodologies, including the Version 28 (V28) model, within a Medicare ACO (MSSP) or similar Medicare value-based care program required
- Experience supporting Medicaid, ACO, or alternative risk adjustment models, including DxCG, strongly preferred
- Advanced knowledge of ICD-10-CM coding principles, clinical documentation integrity, and risk adjustment methodologies
- Strong understanding of CMS-HCC V28 and alternative risk adjustment methodologies, including the MassHealth DxCG model
- Knowledge of Medicare, Medicaid, MSSP, ACO, and value-based reimbursement models
- Experience conducting provider education, training, coaching, and performance improvement initiatives
- Ability to interpret coding, claims, quality, utilization, and performance data
- Ability to identify trends, performance gaps, and educational opportunities through data analysis
- Excellent verbal, written, presentation, and facilitation skills
- Strong relationship-building skills with providers, health center leadership, and multidisciplinary teams
- Proficiency with electronic health records, coding software, reporting platforms, and population health tools
- Equivalent combinations of education and experience may be considered
- Employees must be vaccinated consistent with applicable law
Benefits
Comp & perks- Salary range of $68,806–$80,847 annually
- Vaccination consistent with applicable law required for infection control compliance
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Risk Adjustment DocumentationClinical Documentation ImprovementMedical CodingPopulation Health ManagementValue-Based CareCoding AccuracyPerformance Trend AnalysisDocumentation StandardsEducational Material DevelopmentCoaching and Mentorship
Soft Skills
Excellent Verbal CommunicationPresentation SkillsRelationship-BuildingFacilitation SkillsCollaboration
Tools & Technologies
Electronic Health RecordsCoding SoftwareReporting PlatformsPopulation Health Tools
Certifications & Qualifications
AAPC Certified Professional Coder (CPC)AHIMA Certified Coding Specialist (CCS)AAPC Certified Risk Adjustment Coder (CRC)
Industry Keywords
MedicareMedicaidMSSPACOValue-Based ReimbursementDxCGCMS RegulationsClinical Documentation StandardsRisk Adjustment MethodologiesICD-10-CM