HCC Coding Educator
Location: Lee Health -2776 Cleveland Ave Fort 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
Summary
The 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.
Requirements
Education: 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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