Jobs · Healthcare

Medical Coder Educator

Humana · Raleigh, NC · 1 mo ago
RemoteRemoteHealthcare$59k–$81k/yrFull-time

About the role

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

Responsibilities

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

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.
  • Mediterranean knowledge.

Additional Information

  • Work at home - with travel (up to 5%) to surrounding provider offices.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
  • Scheduled Weekly Hours 40.
  • Pay Range $59,300 - $80,900 per year.
  • This job is eligible for a bonus incentive plan.

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