Medical Coding Educator
About the role
The Medical 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.
- Identify educational needs based on reports.
- Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques.
- Provider onsite education.
- 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.
- Work with 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 or auditing in a healthcare setting experience.
- Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience interpreting large data sets.
- Demonstrated knowledge of healthcare risk adjustment, including HCC coding and CMS-HCC model version 28.
- Experience working with healthcare providers.
- Experience speaking with leadership, webinars, public speaking or presentation skills with healthcare providers.
- Licensed to drive and have reliable transportation.
Preferred Qualifications
- Bachelor's Degree.
- Value-based care.
- Primary care.
- Medicare Risk Adjustment knowledge.
- CRC - Certified Risk Adjustment Coder.
- Experience working with healthcare providers.
- Microsoft Office applications.
Additional Information
- Work at home - with travel (up to 5%) to surrounding provider offices.
- Valid Driver's license and reliable transportation.
- 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.
Benefits
- Medical, dental and vision benefits.
- 401(k) retirement savings plan.
- Time off (including paid time off, company and personal holidays, paid parental and caregiver leave).
- Short-term and long-term disability.
- Life insurance.
- Many other opportunities.
About Us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large.
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. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. 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.