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

• 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.
• Collaboration 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.

Required Qualifications

• 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.

Additional Information

• Work at home - with travel (up to 5%) to surrounding provider offices.
• As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor.
• 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.
• Scheduled Weekly Hours 40.
• Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $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.
• This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.