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Clinical Risk Educator, Remote

1 week, 1 day ago
United States
Full-time
Senior
Training Specialist
Quality Assurance and Testing
Apply Now
Aledade

Aledade

Aledade collaborates with independent practices, health centers, and clinics to establish and manage Accountable Care Organizations (ACOs) that prioritize primary care, enabling physicians to enhance patient care while maintaining their independence in...

Health Care Providers & Services
1K-5K
Founded 2014
$686M raised
View All Jobs 61

Description

  • Develop and deliver educational content that improves accurate and complete clinical documentation practices.
  • Perform retrospective medical chart reviews to identify documentation gaps and opportunities for improvement.
  • Analyze performance data to uncover learning needs, trends, and systemic issues.
  • Lead diagnosis documentation education for clinical audiences and key practice staff.
  • Collaborate with colleagues and leadership to create and update educational materials, including reference guides, slide decks, and toolkits.
  • Conduct educational sessions in person or virtually for Aledade ACO member practices.
  • Synthesize findings into concise summaries and prioritized recommendations for improvement.
  • Review repository content annually to ensure alignment with CMS regulatory updates.
  • Research and stay current on clinical documentation, coding guidelines, and clinician documentation improvement practices.
  • Serve as a regional resource for appropriate clinical documentation and coding practices.

Requirements

  • Bachelor’s degree in a healthcare-related field or equivalent work experience.
  • 5+ years of clinical experience, particularly in nursing or international medical backgrounds.
  • Current medical coding certification such as CPC, CCS-P, CRC, CCDS, CDEO, or CCDS-O through AAPC, ACDIS, or AHIMA.
  • 2+ years of clinical documentation improvement experience.
  • Extensive knowledge of ICD-10-CM, HCPCS, CPT, medical terminology, human anatomy and physiology, clinical indicators, and pharmacology.
  • Subject matter expertise in the CMS HCC Risk Adjustment program, methodology, and impact on value-based contracts.
  • Comfort presenting to large and small groups in person and virtually using tools such as Google Meet or Zoom.
  • Ability to work independently and collaboratively.
  • Ability to multi-task, prioritize daily workload, and adapt flexibly.
  • Availability for market-specific events, including 1-2 Saturday events per year and occasional evening hours.
  • Active nursing credential such as RN or LPN, or international medical graduate background (preferred).
  • Experience working directly with providers in an outpatient setting (preferred).
  • Experience delivering clinical education and training using Google Slides or PowerPoint (preferred).
  • Ability to use clinical and quality data insights to identify improvement opportunities (preferred).
  • Advanced knowledge of Medicare billing and coding regulations and CMS compliance standards (preferred).
  • General understanding of FQHC/RHC billing requirements and reimbursement structures (preferred).
  • Willingness to travel as needed, up to 25% annually, to headquarters or markets.

Benefits

  • $69,000 to $90,000 base salary plus bonus and equity.
  • Health, dental, and vision insurance paid up to 80% for employees, dependents, and domestic partners.
  • 21 days of PTO in the first year, plus 11 paid holidays and two paid volunteer days.
  • 12 weeks of paid parental leave for all new parents.
  • Six weeks of paid sabbatical after six years of service.
  • Educational Assistant Program and Clinical Employee Reimbursement Program.
  • 401(k) with up to 4% employer match.
  • Flexible work schedules and remote work availability for many roles.

Interested in this position?

Apply directly on the company website

Apply Now

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