Senior Coding Educator

About the role

The Senior Coding Educator identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Manager, Coding Education.

Responsibilities

• Create and execute the risk adjustment strategy for each provider group.
• Analyze data and reporting and provide educational sessions with providers aimed at quality of care, documentation, and coding improvements.
• Collaborate with relationship owners and HQRIMonitor and develop strategy with Coding educators and leaders, tailor provider group webinars and discussions based on various MRA topics.
• Create compliant PowerPoint presentations tailored to group strategy.

Requirements

• AAPC CPC (Certified Professional Coder) Certification
• 2 or more years of medical record review knowledge
• Familiar with coding guidelines (i.e. ICD-9/ICD-10)
• Use Microsoft Word (creating documents) and Excel (formulas, pivot tables) and PowerPoint (creating and presenting)
• Analyzing data to drive process improvement
• Experience with public speaking / presentation skills

Preferred Qualifications

• Bachelor's degree
• Certified Risk Coder (CRC)
• Experience interacting with healthcare providers
• Medicare Risk Adjustment knowledge
• Analyzing data to build unique education strategies in PowerBI

Additional Information

• Work at home - with ability to travel (up to 35% to surrounding provider offices)
• In person meetings, quarterly HireVue
• Internet service criteria: minimum 25 Mbps download and 10 Mbps upload, wireless, wired cable or DSL connection preferred
• California, Illinois, Montana, or South Dakota residents may receive bi-weekly internet expense reimbursement
• Home or hybrid home/office employees provided with telephone equipment appropriate to meet business requirements
• Occasional travel to Humana's offices for training or meetings may be required
• Scheduled weekly hours: 40
• Pay range: $71,100 - $97,800 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. Associate benefits include medical, dental, and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance, and 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.