Risk Adjustment Provider Educator (San Diego Region)

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.

The Provider Educator, Risk Adjustment is a field-based provider education role that partners with physicians, advanced practice providers, and clinic staff to improve clinical documentation, coding accuracy, compliance, and risk adjustment performance. The role conducts regular onsite provider visits, reviews provider-specific documentation and coding trends, and delivers targeted education, coaching, and actionable feedback. Coding expertise, focused chart review, and audit findings are used to identify education opportunities, reinforce best practices, and support Medicare Advantage and value-based care initiatives.

• High School Diploma or equivalent.
• Minimum of 3 years of Risk Adjustment/HCC coding experience.
• Candidates must have one of the following certifications: Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), RHIT, or RHIA certification. Candidates hired without CRC certification must obtain certification within the first year of employment.
• Prior experience with Medicare Managed Care (Medicare Advantage); provider education, engagement, auditing, or documentation improvement experience preferred.
• A valid California driver's license with an acceptable driving record is required. Must be eligible to safely operate company vehicles, with no major moving violations within the past 3 years and no more than one (1) point on current DMV record.

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.