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Medicare Risk Adjustment Coding Educator Jobs in Texas

University Health

Coding Educator/Auditor

San Antonio, TX · On-site

$23.50 - $26.75/hr

Accrediting bodies include, but not limited to, the Centers for Medicare and Medicaid Services (CMS ... LICENSURE/CERTIFICATION The Coding Educator & Auditor must maintain a valid credential offered by ...

University Health

Coding Educator/Auditor

San Antonio, TX

$25.10 - $40.25/hr

Accrediting bodies include, but not limited to, the Centers for Medicare and Medicaid Services (CMS ... LICENSURE/CERTIFICATION The Coding Educator & Auditor must maintain a valid credential offered by ...

Altegra Health

Remote Certified Coder

Dallas, TX · Remote

$22.25 - $30.50/hr

Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred)

Altegra Health

Remote Certified Coder

Dallas, TX · On-site +1

$22.25 - $30.50/hr

... Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: • Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC ...

Moffitt

$24 - $27.25/hr

Summary The MID REVENUE CYCLE CODING EDUCATOR SR, serves as the subject matter expert and ... Medicare Severity Diagnosis Related Groupers ("MSDRG"), All Patient Refined Diagnosis Related ...

Moffitt

$24 - $27.25/hr

Summary The MID REVENUE CYCLE CODING EDUCATOR SR, serves as the subject matter expert and ... Medicare Severity Diagnosis Related Groupers ("MSDRG"), All Patient Refined Diagnosis Related ...

Moffitt

$24 - $27.25/hr

Summary The MID REVENUE CYCLE CODING EDUCATOR SR, serves as the subject matter expert and ... Medicare Severity Diagnosis Related Groupers ("MSDRG"), All Patient Refined Diagnosis Related ...

Moffitt

$24 - $27.25/hr

Summary The MID REVENUE CYCLE CODING EDUCATOR SR, serves as the subject matter expert and ... Medicare Severity Diagnosis Related Groupers ("MSDRG"), All Patient Refined Diagnosis Related ...

St Luke's Health

Value Based Coder II

Houston, TX · On-site

$25.30 - $35.74/hr

Continuously monitor and interpret evolving HCC coding guidelines, CMS regulations, and compliance trends within the risk adjustment landscape, applying this knowledge to daily coding and education ...

UTMB Health

Coder - RCO Coding (Remote)

Galveston, TX · Remote

$17.50 - $23.50/hr

EDUCATION & EXPERIENCE: Minimum Qualifications: * Two years of medical billing or related ... CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional ...

UTMB Health

Coder - RCO Coding (Remote)

Galveston, TX · Remote

$17.50 - $23.50/hr

EDUCATION & EXPERIENCE: Minimum Qualifications: * Two years of medical billing or related ... CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional ...

UTMB Health

Coder - RCO Coding (Remote)

Galveston, TX · On-site +1

$17.50 - $23.50/hr

EDUCATION & EXPERIENCE: Minimum Qualifications: * Two years of medical billing or related ... CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional ...

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Medicare Risk Adjustment Coding Educator information

What is the difference between Medicare Risk Adjustment Coding Educator vs Medicare Coding Specialist?

AspectMedicare Risk Adjustment Coding EducatorMedicare Coding Specialist
CertificationsAHIMA or AAPC certifications, risk adjustment trainingAHIMA or AAPC coding certifications, Medicare-specific coding credentials
Work EnvironmentTraining sessions, educational settings, healthcare organizationsClinical coding departments, healthcare facilities, insurance companies
Employer & Industry UsageHospitals, health plans, educational institutionsHospitals, 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 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 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 popular job titles related to Medicare Risk Adjustment Coding Educator jobs in Texas? For Medicare Risk Adjustment Coding Educator jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Medicare Risk Adjustment Coding Educator jobs in Texas look for? The top searched job categories for Medicare Risk Adjustment Coding Educator jobs in Texas are:
Medicare Risk Adjustment Coding Educator jobs near you

Coding Educator/Auditor

University Health

San Antonio, TX • On-site

$23.50 - $26.75/hr

Full-time

Re-posted 24 days ago

University Of Nevada (Reno) rating

8.5

Company rating: 8.5 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

80th of 618 rated colleges and universities

Job description

POSITION SUMMARY/RESPONSIBILITIES
Works under the direct supervision of the Coding Education & Audit Manager. Will perform any or a combination of the following types of coding education and audit: Basic ancillary services, Emergency Room services, Hospital Observation, Ambulatory surgery, Inpatient Admission. Utilizes the ICD-10-CM and CPT coding classification systems and ensures proper assignment and completion of Diagnosis and Procedure Coding on all cases. Trains new Coding Specialist(s), Technician(s), and Associate(s). Promotes the Health System’s guest relations’ policy. Complies with all Federal, State, local and accrediting bodies’ regulations and protocols. Accrediting bodies include, but not limited to, the Centers for Medicare and Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National Committee for Quality Assurance (NCQA) that promotes Healthcare Effectiveness Data and Information Set (HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC).

EDUCATION AND EXPERIENCE
Associate’s Degree is required; Associate’s degree in Health Information Management and/or Bachelor’s degree is preferred. Completion of a coding program is required. [Note: Completion of a coding program from the American Health Information Management Association (AHIMA) and/or American Association of Professional Coders (AAPCS) will be accepted. Completion of a coding program from other licensing bodies shall be accepted on a case by case basis and upon managerial discretion, with the approval of the Director of Revenue Integrity-Coding.] At least five (5) years of coding experience in professional services, hospital services, or a combination of both is required for external applicants. At least four (4) years of pro-fee, outpatient/ambulatory, and inpatient coding experience is required for internal applicants. Experience and working knowledge of 3M Encoding and Grouping software is required. Preference will be given to applicants with experience and knowledge of regulatory requirements, Microsoft Office products, and Epic EMR.

LICENSURE/CERTIFICATION
The Coding Educator & Auditor must maintain a valid credential offered by the accrediting bodies mentioned above (AHIMA and AAPC). [Note: Valid credential(s) from the American Health Information Management Association (AHIMA) and/or American Association of Professional Coders (AAPC) will be accepted. Credential(s) from other licensing bodies shall be accepted on a case by case basis and upon managerial discretion, with the approval of the Director of Revenue Integrity-Coding]. Licensure as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), and/or Registered Nurse(s) (RN) are highly preferred.

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