HCC Coding Educator
The HCC Coding Educator
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.
Qualifications
- N/A
Skills
- Strong clinical knowledge of HCC coding and risk adjustment.
- Excellent communication and collaboration skills.
- Ability to provide provider education and feedback on coding practices.
- Proficiency in reviewing and analyzing clinical documentation for risk adjustment purposes.
Benefits
- N/A
Pay
Minimum to Midpoint Pay Rate: $27.57 - $35.84 / hour
Schedule
Shift: Shift 1
Location
2776 Cleveland Ave, Fort Myers, FL 33901
About the Role
Lee Health is located in Fort Myers/Cape Coral, Florida.