Clinical Risk Educator; US West Coast), Remote

Overview

The Clinical Risk Educator is responsible for developing and delivering educational content designed to improve accurate and complete clinical documentation practices. This role supports the clinical audiences of our external partner practices as well as Aledade’s clinical and non-clinical staff internally.

This position requires a deep understanding of clinical documentation concepts, clinical practice, and general outpatient practice workflows. It also demands a commitment to fostering education that promotes high-quality, compliant documentation practices within a value-based care framework. Candidates should be comfortable working remotely/work from home anywhere within the US.

• The Clinical Risk Educator performs qualitative retrospective chart reviews for prioritized practices to ensure complete and accurate clinical documentation, using quantitative measures to track the frequency and types of documentation errors and gaps. They analyze review outcomes to pinpoint specific areas for improvement in coding and documentation, identify trends that indicate systemic issues or training needs, and synthesize concise, high-level summaries to illustrate findings.
  
  They prioritize recommendations for improvement and conduct educational sessions for Aledade ACO member practices and their staff—delivered in person or virtually—covering review findings, clinical documentation, and risk adjustment concepts.
• Serve as an individual contributor on the Risk Education team, collaborating to develop and update educational materials related to clinical documentation for internal and external audiences, including reference guides, slide decks, and toolkits. Conduct annual reviews of repository content to align with CMS regulatory updates.
• Research, investigate, and stay up to date on clinical and coding guidelines as they relate to clinician documentation improvement.
• Serve as a resource for appropriate clinical documentation and coding practices for the assigned region.

• Bachelor’s degree in a healthcare-related field or equivalent work experience required.
• 5+ years of clinical experience.
• Current medical coding certification such as CPC, CCS-P, CRC, CCDS, CDEO, CCDS-O, or equivalent through AAPC, ACDIS, or AHIMA.
• 2+ years of clinical documentation improvement experience.
• Extensive knowledge of ICD-10-CM, HCPCS and CPT coding, medical terminology, anatomy and physiology, clinical indicators, and pharmacology is required.
• Subject matter expertise on the CMS HCC Risk Adjustment program, methodology, and impact to value-based contracts.
• Comfortable presenting to large and small groups in person and virtually (Google Meet, Zoom, etc.).
• Ability to work independently and collaboratively.
• Flexible and able to multi-task and prioritize daily workload.
• Availability for market-specific events, including 1-2 Saturday events per year in select markets.
• Flexibility to work occasional evening hours, with potential 1-2 evenings per month on a national scale.

• Active nursing credential as RN, LPN, or international medical graduate (IMG).
• Background in working directly with providers in an outpatient setting.
• Experience developing and delivering clinical education and training via Google Slides or PowerPoint.
• Ability to use insights from clinical and quality data to address opportunities for improvement.
• Advanced knowledge of Medicare billing and coding regulations, and a deep understanding of CMS compliance standards and guidelines.
• General understanding of billing requirements and reimbursement structures for FQHCs/RHCs.
• Willingness to travel as needed to Aledade’s headquarters or markets.

• Sitting for prolonged periods; extensive use of computers and keyboard. Occasional walking and lifting may be required.
• Willingness to travel as needed to Aledade’s headquarters or markets (estimated 10-20% of the year).

$69,000 - $90,000 a year. Salary Range: $69,000 - $90,000 base + bonus + equity. Compensation will depend on a candidate’s qualifications, skills, and experience.

Aledade, a public benefit corporation, exists to empower the most…