Risk Adjustment Educator (Remote) at Homeward

Homeward Health is seeking a Risk Adjustment Coding Educator to improve healthcare in rural America. The Risk Adjustment Coding Educator will educate clinicians and support staff on Medicare & Medicaid risk adjustment coding processes. This role aims to improve the accuracy of diagnosis coding, directly affecting the quality of care and appropriate reimbursement.Responsibilities include:

• Maintaining hands-on experience with medical coding for risk adjustment (Medicare & Medicaid).
• Supporting ongoing audit accuracy and compliance efforts.
• Delivering individualized and group training sessions to providers focused on documentation improvement and coding accuracy.
• Translating CMS guidelines and risk adjustment policy updates into practical, provider-facing education materials.
• Partnering with clinical leadership to analyze trends, identify gaps, and drive documentation improvement initiatives.
• Providing feedback and coaching to clinicians and staff to reinforce compliant coding practices.
• Acting as a bridge between coding, compliance, and provider relations teams to resolve documentation and coding challenges.

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.

Homeward Health offers:

• 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.