Risk Adjustment Auditor Educator

Centene

Multiple Locations
Base: $56,200.00 - $101,000.00 py; bonus/equity: n...
Hybrid
Medical record audits
Practice coding pattern analysis
Risk adjustment education
Conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care

Job Summary

  • Conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care.
  • Analysis of MRA data to identify patterns and development of interventions at the provider and market level.
  • Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.

Matching Summary

Conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care.

Salary

Base: $56,200.00 - $101,000.00 per year; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package

Skills & Requirements

Must-have

  • Medical record audits
  • Practice coding pattern analysis
  • Risk adjustment education
  • CMS payment accuracy
  • Quality of care improvement
  • MRA data analysis

Nice-to-have

  • Workplace flexibility
  • Transforming communities
  • Diverse national organization

Key Requirements

  • Bachelor’s degree or equivalent experience
  • 5+ years medical coder experience
  • 2+ years Medicare risk adjustment (HCC Coding)
  • Teaching, training or educator/instructor role
  • CPC or CCS certification required at hire
  • CRC required within 1st year
  • CPMA preferred on 2nd year

Work Rights

Not specified

Tailored Resume

Cover Letter