Medical Coding Educator

Become a part of our caring community. The Medical 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.

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.
• Provide onsite education to providers.
• 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

• AHIMA or AAPC CPC (Certified Professional Coder) Certification.
• 3 or more years of medical coding education or auditing in a healthcare setting.
• Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience interpreting large data sets.
• Experience with healthcare risk adjustment, including HCC coding and CMS-HCC model version 28.
• Experience speaking with leadership, webinars, public speaking, or presentation skills with healthcare providers.
• Live in NC, SC, GA, VA, or TN.
• Valid Driver's license and reliable transportation.

Preferred Qualifications

• Bachelor's Degree.
• Value-based care experience.
• Primary care experience.
• Medicare Risk Adjustment knowledge.
• CRC - Certified Risk Adjustment Coder.
• Experience working with healthcare providers.
• Proficiency with Microsoft Office applications.

Schedule

• Scheduled Weekly Hours: 40.
• Work at home with travel (up to 5%) to surrounding provider offices.
• Occasional travel to Humana's offices for training or meetings may be required.

Pay

The pay range for this position is $59,300 - $80,900 per year. This job is eligible for a bonus incentive plan based upon company and/or individual performance.

Benefits

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off (including paid time off, company and personal holidays, paid parental and caregiver leave).
• Short-term and long-term disability.
• Life insurance.

Additional Information

• This is a remote position. To ensure effective work from home, the following internet service criteria must be met:
  • Minimum download speed of 25 Mbps and upload speed of 10 Mbps.
  • Wireless, wired cable, or DSL connection is suggested.
  • Satellite, cellular, and microwave connections may be used only if approved by leadership.
• Associates in California, Illinois, Montana, or South Dakota will receive a bi-weekly payment for their internet expense.
• Humana will provide telephone equipment appropriate to meet business requirements.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information.