HCC Coding Educator
Fort Myers, FL · Remote
$27.57 - $35.84/hr
This role supports Medicare Advantage, ACO, and other risk-based contracts by ensuring Hierarchical ... CRC, CPC, CCS, COC, RHIA or RHIT required. License: N/A Other: US:FL:Fort Myers
Fort Myers, FL · Remote
$27.57 - $35.84/hr
This role supports Medicare Advantage, ACO, and other risk-based contracts by ensuring Hierarchical ... CRC, CPC, CCS, COC, RHIA or RHIT required. License: N/A Other: US:FL:Fort Myers
Fort Myers, FL · Remote
$27.57 - $35.84/hr
This role supports Medicare Advantage, ACO, and other risk-based contracts by ensuring Hierarchical ... CRC, CPC, CCS, COC, RHIA or RHIT required. License: N/A Other: US:FL:Fort Myers
... Coder (CRC), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Expert ... Additionally, by creating value-based contracts across a wide variety of health plans, we aim to ...
... Coder (CRC), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Expert ... Additionally, by creating value-based contracts across a wide variety of health plans, we aim to ...
Manager, Project Management - Site Lead Job Code: 39112 Job Location: Hurlburt Field, FL (Onsite ... Perform other related duties as required to support contract and mission requirements. * Ability to ...
Manager, Project Management - Site Lead Job Code: 39112 Job Location: Hurlburt Field, FL (Onsite ... Perform other related duties as required to support contract and mission requirements. * Ability to ...
| Aspect | Contract Crc Coding | Medical Coder |
|---|---|---|
| Certifications | Typically requires CRC certification, CPC, or equivalent | Usually requires CPC, CCS, or equivalent certifications |
| Work Environment | Often contract-based, remote or on-site healthcare settings | Full-time or part-time, hospital or outpatient clinics |
| Industry Usage | Used mainly in healthcare compliance and risk adjustment | Primarily in medical billing, coding, and documentation |
Contract CRC Coding and Medical Coder roles share certifications like CPC and work in healthcare environments. However, Contract CRC Coding focuses on compliance and risk adjustment, often in contract positions, while Medical Coders handle billing and documentation in various healthcare settings. Both roles require similar credentials but serve different primary functions within the healthcare industry.
6.9
Based on 190 frontline employees who took The Breakroom Quiz
445th of 876 rated healthcare providers
Location:Lee Health -2776 Cleveland AveFort Myers FL 33901
Department: RBE-MPG-LH
Work Type: Full Time
Shift: Shift 1/ to
Minimum to Midpoint Pay Rate:$27.57 - $35.84 / hour
SummaryThe 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.
RequirementsEducation: 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
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Lee Health is one of the largest public health systems in the U.S. and one of the largest not-for-profit public health systems in Florida. With 4 acute care hospitals; Lee Memorial, Healthpark Medical Center, Cape Coral Hospital and Gulf Coast Medical Center, two specialty hospitals; Gaisano Children's Hospital and The Rehab Hospital. Lee Physician Group with over 80 practices throughout Southwest Florida, a Regional Cancer Center, seven outpatient centers, three walk-in clinics and two pediatric outpatient facilities. HEALTHGRADES ranks Lee Healths four acute care hospitals in the top 5% in the nation for overall clinical excellence in 2019, 2020, 2021 AND 2022 and is included in America's 250 Best Hospitals
Health care and social assistance
10,000+ Employees
Fort Myers, FL, US
1916