Educator

• 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

Explore Provider Educator at Community Care Cooperative (C3). Review requirements and application details.