Valora Medical Group is a rapidly growing, innovative primary care organization committed to delivering high-quality, patient-centered healthcare. The team strives to treat every patient like family, driven by empowered and collaborative professionals.
The Director of Medical Risk Adjustment (MRA) and Clinical Documentation is a hands-on leadership role responsible for overseeing internal risk coding operations, ensuring compliance with CMS/HHS guidelines, and driving provider performance through education and quality initiatives.
Key responsibilities include leading day-to-day MRA and Clinical Documentation team operations, managing hiring and professional development, overseeing audit and compliance processes, ensuring adherence to federal and state regulations, implementing provider education strategies, managing coding operations and quality assurance, and collaborating across clinical and leadership teams to optimize coding accuracy and risk-adjusted revenue.
The role requires a professional leader who fosters a compliant, accountable, and positive team culture, acting as the subject matter expert on MRA with a focus on improving financial and clinical outcomes.
Education and qualifications:
- Bachelor’s degree in Healthcare Administration, Business Administration, or Management (Master’s preferred)
- 7+ years management experience in healthcare
- 5+ years with MRA coding and clinical documentation
- Strong knowledge of EMR systems, specifically eClinicalWorks
- Certified Professional Coder (CPC) required; Certified Risk Adjustment Coder (CRC) highly preferred
- Proficiency in Microsoft Office 365
- Solid understanding of CMS Fraud/Waste Abuse, OSHA, HIPAA
- Bilingual English/Spanish highly preferred
Experience:
- 7 to 10 years in healthcare
- 5 to 7 years in management and risk revenue
Work location primarily onsite in Orlando, FL with potential for hybrid work.
Benefits include 401(k) and matching, dental, disability, employee assistance, flexible spending accounts, health insurance, HSA, life insurance, paid time off, referral program, retirement plan, and vision insurance.
- Bachelor’s degree required; Master’s degree preferred
- 7+ years healthcare management experience
- 5+ years experience in Medical Risk Adjustment coding and clinical documentation
- Certified Professional Coder (CPC) certification required
- Certified Risk Adjustment Coder (CRC) certification preferred
- Experience with eClinicalWorks EMR system
- Knowledgeable in CMS regulations, HIPAA, OSHA compliance
- Ability to lead, manage and develop teams
- Excellent written, verbal communication, and interpersonal skills
- Bilingual English and Spanish preferred
- Strong analytical skills and attention to detail
- Proactive, organized, innovative, self-starter
- Experience in auditing, coding productivity, and provider education
- Ability to collaborate cross-functionally and manage compliance adherence
- 401(k) and 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Referral program
- Retirement plan
- Vision insurance
Location
Orlando, Florida, US
Employment Type
Full-time
Experience Level
Director
Remote work allowed
Yes
Posted
1 month ago