The MRA Coding & Documentation Educator Lead is responsible for driving enterprise-wide education strategy, audit oversight, and provider engagement related to risk adjustment coding and documentation. This role partners closely with POD leadership, clinical teams, and organizational leadership to improve documentation accuracy, ensure compliance, and optimize risk adjustment performance.
Responsibilities- Schedule and lead meetings with POD leadership to review audit results and provide guidance on accurate diagnosis documentation
- Create disease-specific coding and documentation materials including presentations, handouts, and POD education series
- Manage open encounters and partner with APPs and MDs to support timely note closure
- Deliver New Employee Orientation (NEO) MRA education, pre- and post-training sessions, and Grand Rounds presentations
- Assist POD MDs with gap list reviews and documentation opportunities
- Provide timely correspondence to providers regarding clinical documentation opportunities and queries
- Identify trends through data analysis and chart review; evaluate existing policies and develop new policies with recommendations to improve outcomes
- Partner closely with Clinical Coaches to design and deliver education based on clinical and coding audit findings
- Maintain audit tracking systems and report key metrics, trends, and findings to leadership
- Serve as subject matter expert on risk adjustment documentation and coding practices across the organization
- Provide guidance and mentorship to coding educators and clinical partners
Position Requirements
- High School Diploma or GED
- CPC or CRC Certification required
- Minimum of five (5) years of Medicare Risk Adjustment Education experience including three (3) years of Medicare Risk Adjustment experience
- Demonstrated ability to present to small and large groups on coding and documentation topics
- Knowledge of HCC models, risk adjustment, and compliant documentation of diagnosis and Category II codes
- Advanced knowledge of medical terminology, anatomy, and physiology
- Maintains current knowledge of regulatory, documentation, and coding guidelines including CPT, ICD-10, HCPCS, E/M coding, auditing, and education
- Familiarity with STARs performance measures and metrics
- Written and verbal communication skills, including effective communication with physicians and senior leadership
- Up to 70% travel required for onsite education, meetings, and presentations
- Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
- Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
- Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
- Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts
About Monogram Health
Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.
Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.
Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.
Equal Opportunity EmployerThis employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
What We Do
Monogram Health is a leading value-based specialty provider of in-home evidence-based care and benefit management services for patients living with polychronic conditions, including chronic kidney and end-stage renal disease.
