Nevada Licensed Risk Adjustment Educator

Key responsibilities: Conduct provider education and training on risk adjustment coding and CMS guidelines Analyze MRA data to identify patterns and develop interventions for WellCare contracted providers Collaborate with other departments to ensure compliance with CMS risk adjustment guidelines

Required qualifications: Bachelor's degree or equivalent experience 5+ years of experience in a hospital, physician setting, or Managed Care Organization as a medical coder 2+ years of experience in coding with knowledge of Medicare risk adjustment (HCC Coding) Teaching, training, or educator experience is required; provider education experience is preferred Current certification as CPC or CCS is required at the time of hire