Medical Coding Educator

Humana; North Carolina; On-site; USD 59,000 - 81,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) plan

Paid time off

Disability insurance

Life insurance

Job summary

Humana is seeking a Medical Coding Educator 2 to identify opportunities to improve provider documentation and tailor education plans. This role reports to the Manager, Medicare Risk Adjustment and involves travel to surrounding provider offices.

You will arrange educational sessions, analyze coding quality trends, and prepare comprehensive reports for leadership. Strong data analytics and presentation skills are required, with NC/SC/GA/VA/TN residency.

Qualifications

• AHIMA or AAPC CPC Certification.
• 3+ years of medical coding education or auditing in a healthcare setting.
• Proficiency with data analytics tools (Excel/Power BI) and ability to interpret large data sets.
• Experience with healthcare risk adjustment including CMS-HCC model version 28.
• Experience presenting to leadership or providers (webinars/public speaking).
• Residency in NC, SC, GA, VA, or TN.

Responsibilities

• Arrange educational sessions with assigned providers to improve quality of care and documentation.
• Identify educational needs based on reports.
• Prepare reports and presentations on coding quality trends, risk areas and outcomes using data visualization.
• Provide provider onsite education.
• Collaborate with other market provider-facing roles.
• Use data analytics tools to assess coding quality and monitor compliance with standards.
• Analyze coding audit results to develop data-driven educational materials.
• Work with teams to improve documentation, data integrity and workflow processes.

Skills

CPC Certification

Data analytics

Healthcare risk adjustment

Public speaking

Provider education

Leadership communication

Education

Bachelor's Degree

Tools

Excel

Power BI

Job description

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.

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.
As the Medical Coding Educator 2 you will

• 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
• Collaboration with other market provider facing role
• 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

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 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
• 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, TN

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 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
• Satellite, cellular and microwave connection can be used only if approved by leadership
• Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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. This incentive opportunity is based upon company and/or individual performance.

Description Of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 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. Learn more about what we offer atHumana.comand atCenterWell.com.

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.