Ensure projects meet quality standards and deadlines Provider Education and Support * Train ... Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process ...
Ensure projects meet quality standards and deadlines Provider Education and Support * Train ... Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process ...
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Ensure projects meet quality standards and deadlines Provider Education and Support * Train ... Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process ...
Ensure projects meet quality standards and deadlines Provider Education and Support * Train ... Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process ...
Adult Medicine Physician
Dundee, FL · On-site
$300K/yr
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Adult Medicine Physician
Dundee, FL · On-site
$300K/yr
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Primary Care Physician
Bradenton, FL · On-site
$190 - $230/hr
Training on accurate risk adjustment coding * Training on Medicare appropriate quality of care (STARS) program * Must take call once week every 6 weeks Primary Care Physician - Responsibilities
Primary Care Physician
Bradenton, FL · On-site
$190 - $230/hr
Training on accurate risk adjustment coding * Training on Medicare appropriate quality of care (STARS) program * Must take call once week every 6 weeks Primary Care Physician - Responsibilities
Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are ... Preferred Education and Experience: Coding experience or certification, or some college is ...
Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are ... Preferred Education and Experience: Coding experience or certification, or some college is ...
Adult Medicine Physician
Arcadia, FL · On-site
$270K/yr
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Adult Medicine Physician
Arcadia, FL · On-site
$270K/yr
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Adult Medicine Physician
Sarasota, FL · On-site
$300K/yr
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Adult Medicine Physician
Sarasota, FL · On-site
$300K/yr
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Adult Medicine Physician
Wildwood, FL · On-site
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Adult Medicine Physician
Wildwood, FL · On-site
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Medical Coder - Primary Care Clinic
Sunrise, FL · On-site
$23 - $25/hr
... HCC/risk adjustment coding as needed. Experience with eClinicalWorks is preferred. About Us: HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top ...
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Medical Coder - Primary Care Clinic
Sunrise, FL · On-site
$23 - $25/hr
... HCC/risk adjustment coding as needed. Experience with eClinicalWorks is preferred. About Us: HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top ...
Adult Medicine Physician
Davenport, FL · On-site
$300K/yr
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Adult Medicine Physician
Davenport, FL · On-site
$300K/yr
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Adult Medicine Physician
Sarasota, FL · On-site
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Adult Medicine Physician
Sarasota, FL · On-site
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Adult Medicine Physician
Dundee, FL · On-site
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Adult Medicine Physician
Dundee, FL · On-site
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Adult Medicine Physician
Davenport, FL · On-site
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Adult Medicine Physician
Davenport, FL · On-site
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Adult Medicine Physician
Arcadia, FL · On-site
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Adult Medicine Physician
Arcadia, FL · On-site
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Adult Medicine Physician
Davenport, FL · On-site
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Adult Medicine Physician
Davenport, FL · On-site
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Adult Medicine Physician
Dundee, FL · On-site
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Adult Medicine Physician
Dundee, FL · On-site
Training on Accurate Risk Adjustment Coding * Training On Medicare Appropriate Quality of Care (STARS) Requirements: * Board Certification or Board Eligible in Internal Medicine or Family Practice ...
Medicare Risk Adjustment Coding Educator information
What is a Medicare Risk Adjustment Coding Educator?
A Medicare Risk Adjustment Coding Educator is a healthcare professional responsible for training and educating medical coders, providers, and staff on risk adjustment coding guidelines as they pertain to Medicare. Their primary role is to ensure accurate and compliant coding of diagnoses, which affects risk scores and reimbursement under Medicare Advantage plans. They stay current with CMS policies and regulations, develop educational materials, and conduct audits to identify areas for improvement. By fostering correct coding practices, they help healthcare organizations optimize revenue and maintain compliance.
What are the key skills and qualifications needed to thrive as a Medicare Risk Adjustment Coding Educator?
To thrive as a Medicare Risk Adjustment Coding Educator, you need in-depth knowledge of ICD-10-CM coding, HCC risk adjustment models, and healthcare compliance, typically backed by certifications such as CPC, CRC, or CCS. Familiarity with coding software, electronic health record (EHR) systems, and auditing tools is essential for training and quality assurance. Excellent communication, presentation, and interpersonal skills help engage learners and clarify complex regulations. These skills ensure accurate coding practices, optimize revenue integrity, and support compliance in Medicare risk adjustment programs.
What are some common challenges faced by Medicare Risk Adjustment Coding Educators in ensuring coding accuracy across teams?
Medicare Risk Adjustment Coding Educators often encounter challenges such as varying levels of coding proficiency among staff, frequent updates to CMS guidelines, and the need to keep teams consistently informed about compliance changes. Educators must develop effective training methods tailored to different learning styles and regularly audit coding work to identify and address gaps. Collaboration with clinical staff and coders is key to maintaining high accuracy, and ongoing education is essential to support both new and experienced team members.
What is the difference between Medicare Risk Adjustment Coding Educator vs Medicare Coding Specialist?
| Aspect | Medicare Risk Adjustment Coding Educator | Medicare Coding Specialist |
|---|---|---|
| Certifications | AHIMA or AAPC certifications, risk adjustment training | AHIMA or AAPC coding certifications, Medicare-specific coding credentials |
| Work Environment | Training sessions, educational settings, healthcare organizations | Clinical coding departments, healthcare facilities, insurance companies |
| Employer & Industry Usage | Hospitals, health plans, educational institutions | Hospitals, clinics, insurance providers |
The Medicare Risk Adjustment Coding Educator focuses on training healthcare professionals in risk adjustment coding principles, while the Medicare Coding Specialist applies coding directly to patient records and claims. Both roles require coding certifications and knowledge of Medicare guidelines, but educators emphasize teaching and compliance, whereas specialists focus on accurate coding for reimbursement.
What are popular job titles related to Medicare Risk Adjustment Coding Educator jobs in Florida?
For Medicare Risk Adjustment Coding Educator jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Medicare Risk Adjustment Coding Educator jobs in Florida look for?
The top searched job categories for Medicare Risk Adjustment Coding Educator jobs in Florida are:
Full-time
Re-posted 28 days ago
Key responsibilities
Manage the full lifecycle of client projects, including planning, coordination, and ensuring quality standards are met.
Train providers and staff on documentation, coding, and billing best practices, and prepare practices for audits and regulatory reviews.
Support workflow optimization and technology integration by acting as a liaison between practices and EHR vendors, and recommending efficiency improvements.
Job description
Provider Performance & Coding Consultant
Transform healthcare. Empower providers. Improve lives.
Position Description
Are you passionate about improving healthcare delivery and helping providers succeed in a changing landscape? As a Provider Performance & Coding Consultant, you play a key role in guiding medical practices toward better performance, accurate coding, and optimized workflows. You will help providers transition from traditional fee-for-service models to value-based care, ensuring they deliver high-quality care while maintaining financial health.
This is a hands-on, client-facing role where you lead projects, educate providers, and support healthcare transformation. You'll work with a diverse team of professionals who are committed to making a difference in patient outcomes and provider success.
Job Functions and Duties
Client Engagement and Project Leadership
Provider Education and Support
Workflow Optimization and Technology Integration
Regulatory and Program Guidance
Reporting and Communication
Business Development and Revenue Support
Knowledge, Skills, and Abilities
Required Knowledge and Experience
Preferred Knowledge and Experience
Skills and Abilities
Licenses, Certifications, and Legal Requirements
Work Schedule
Transform healthcare. Empower providers. Improve lives.
Position Description
Are you passionate about improving healthcare delivery and helping providers succeed in a changing landscape? As a Provider Performance & Coding Consultant, you play a key role in guiding medical practices toward better performance, accurate coding, and optimized workflows. You will help providers transition from traditional fee-for-service models to value-based care, ensuring they deliver high-quality care while maintaining financial health.
This is a hands-on, client-facing role where you lead projects, educate providers, and support healthcare transformation. You'll work with a diverse team of professionals who are committed to making a difference in patient outcomes and provider success.
Job Functions and Duties
Client Engagement and Project Leadership
- Manage the full lifecycle of client projects, from kickoff to completion
- Develop customized work plans with clear goals, timelines, and deliverables
- Coordinate resources and activities across multiple practices
- Ensure projects meet quality standards and deadlines
Provider Education and Support
- Train providers and staff on documentation, coding, and billing best practices
- Prepare practices for audits and regulatory reviews
- Present performance insights and improvement strategies
- Serve as a trusted advisor on healthcare regulations and payer requirements
Workflow Optimization and Technology Integration
- Act as liaison between practices and electronic health record (EHR) vendors
- Support EHR adoption, configuration, and optimization
- Recommend workflow improvements to enhance efficiency and compliance
- Help practices align with MIPS, Promoting Interoperability, and other programs
Regulatory and Program Guidance
- Stay current with healthcare regulations, trends, and payer programs
- Educate clients on changes affecting coding, billing, and performance metrics
- Support practices in meeting public health agency requirements
Reporting and Communication
- Create and maintain weekly/monthly performance dashboards and reports
- Communicate project updates and recommendations clearly and professionally
- Collaborate with supervisors to review goals, progress, and challenges
Business Development and Revenue Support
- Assist with client acquisition and retention strategies
- Support Fee-for-Service consulting and other revenue-generating activities
- Promote services and solutions that enhance client performance
Knowledge, Skills, and Abilities
Required Knowledge and Experience
- Medical coding experience (certification from AAPC or AHIMA required)
- HEDIS knowledge and Medicare Advantage familiarity
- Experience with EHR systems and chart auditing
- Understanding of healthcare revenue cycles and quality improvement methods
Preferred Knowledge and Experience
- Certified Risk Adjustment Coder (HCC coding)
- Experience with practice transformation or process improvement
- Familiarity with Patient-Centered Medical Home models
- Knowledge of MIPS, Promoting Interoperability, and clinical operations
- Bachelor's degree in Health Informatics, Health Services Administration, or related field
Skills and Abilities
- Strong project management and organizational skills
- Ability to work independently and manage multiple priorities
- Excellent written and verbal communication skills
- Comfortable with public speaking and client presentations
- Proficient in Microsoft Office (Outlook, Excel, PowerPoint, Word)
- Self-motivated, proactive, and adaptable in a fast-paced environment
- Knowledge of medical terminology and ability to apply it appropriately
Licenses, Certifications, and Legal Requirements
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS)
- Certified Risk Adjustment Coder (CRC) preferred
- Must meet all legal requirements for healthcare consulting roles
Work Schedule
- Monday to Friday, 8:00 AM � 5:00 PM
- Occasional variations may include early mornings, evenings, or overnight travel based on client location/needs
About Ucf Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Orlando, FL, US
Year founded
2011