Risk Adjustment Educator

Summary

Join Homeward, a company dedicated to improving healthcare access in rural America, as a Risk Adjustment Coding Educator. This hybrid role requires on-site presence at one of their hubs in Minneapolis, Austin, Chicago, or the San Francisco Bay Area. You will be responsible for ensuring the accuracy and compliance of Medicare & Medicaid risk adjustment coding processes by educating clinicians and support staff on proper coding and documentation practices. This role directly impacts the quality of care and appropriate reimbursement.

Requirements

• 5 years of experience in medical coding, healthcare education, or a related field, with a strong focus on Medicare risk adjustment
• Certified Risk Adjustment Coder (CRC) certification
• In-depth knowledge of Medicare & Medicaid risk adjustment methodology and coding guidelines
• Strong understanding of ICD-10-CM diagnosis coding
• Excellent communication skills
• Familiarity with electronic health record (EHR) systems
• Knowledge of healthcare compliance, regulations, and billing practices
• Analytical and problem-solving skills

Responsibilities

• Maintain hands-on experience with medical coding for risk adjustment (Medicare & Medicaid)
• Support ongoing audit accuracy and compliance efforts
• Maintaining quality and productivity standards
• Deliver individualized and group training sessions to providers focused on documentation improvement and coding accuracy
• Translate CMS guidelines and risk adjustment policy updates into practical, provider-facing education materials
• Partner with clinical leadership to analyze trends, identify gaps, and drive documentation improvement initiatives
• Provide feedback and coaching to clinicians and staff to reinforce compliant coding practices
• Act as a bridge between coding, compliance, and provider relations teams to resolve documentation and coding challenges

Preferred Qualifications

• Additional AAPC or AHIMA certification (RHIA, RHIT, CDIP etc.)
• Approved instructor certification through AAPC or AHIMA
• Experience with risk adjustment technology solutions and risk adjustment vendors
• Previous experience building from the ground up on a small, fast-paced team

Benefits

• Competitive salary and equity grant
• Unlimited Paid Time Off
• Comprehensive benefits package including medical, dental & vision insurance with 100% of monthly premium covered for employees
• Company-sponsored 401k plan
• Flexible working arrangement