Senior Coding Educator

Responsibilities

• Identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider.
• Reports to the Manager, Coding Education.
• Creates and executes the risk adjustment strategy for each provider group.
• Analyzes data and reporting and provides educational sessions with providers aimed at quality of care, documentation, and coding improvements.
• Collaborates with relationship owners and HQRIMonitor and develops strategy with Coding educators and leaders, tailors provider group webinars and discussions based on various MRA topics.
• Develops 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)
• Reside in AL, TN, LA or MS
• Analyzing data to drive process improvement
• Microsoft Word (creating documents) and Excel (formulas, pivot tables)
• PowerPoint (creating and presenting)
• Experience with public speaking / presentation skills

Preferred Qualifications

• Bachelor's degree
• Certified Risk Coder (CRC)
• Experience interacting with healthcare providers
• Medicare Risk Adjustment knowledge
• Experience 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 Requirements: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Employees in certain states may be provided a bi-weekly payment for their internet expense.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
• Occasional travel to Humana's offices for training or meetings may be required.

Pay Range

$71,100 - $97,800 per year

About Us

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.