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