Medical Coder Educator

The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment.

About the role

• Arranges educational sessions with assigned providers aimed at quality of care and documentation improvements.
• Prepares comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques.
• Provides provider onsite education, based on business needs.
• Collaborates with other market provider-facing roles.
• Uses data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards.
• Analyzes coding audit results and other relevant data to develop data-driven educational materials and interventions.
• Participates in cross-functional teams to improve documentation, data integrity, and workflow processes.

Responsibilities

• Identifies educational needs based on reports.
• Speaks with leadership, webinars, public speaking, and/or presentation skills with healthcare providers.
• Familiar with coding guidelines.
• Lives in NC, SC, GA, VA, MD or TN.

Requirements

• Use your skills to make an impact.
• AHIMA or AAPC CPC (Certified Professional Coder) Certification.
• 3 or more years of medical coding education and / or auditing in a healthcare setting experience.
• Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets.
• Experience speaking with leadership, webinars public speaking and/or presentation skills with healthcare providers.
• Risk Adjustment knowledge.
• Familiar with coding guidelines.
• Lives in NC, SC, GA, VA, MD or TN.

Preferred Qualifications

• Bachelor's Degree.
• CRC - Certified Risk Adjustment Coder.
• Experience working with healthcare providers.
• Strong knowledge of all Microsoft Office applications.
• Valid Driver's license and reliable transportation.
• Medicare Risk Adjustment knowledge.

Additional Information

• Work at home - with travel (up to 5%) to surrounding provider offices.
• Interviewing technology provided by HireVue.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
• Travel: Occasional travel to Humana's offices for training or meetings may be required.
• Scheduled Weekly Hours 40.
• Pay Range: $59,300 - $80,900 per year.
• This job is eligible for a bonus incentive plan.
• Description Of Benefits: Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being.
• About Us: About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company.
• Equal Opportunity Employer: It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status.
• Work at Home Guidance: To Ensure Home Or Hybrid Home/Office Associates' Ability To Work Effectively, The Self-provided Internet Service Of Home Or Hybrid Home/Office Associates Must Meet The Following Criteria At Minimum, A Download Speed Of 25 Mbps And An Upload Speed Of 10 Mbps Is Recommended; Wireless, Wired Cable Or DSL Connection Is Suggested.
• Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.