Remote Senior Coding Educator - Risk Adjustment

Humana Inc; Lincoln (NE); Remote; USD 71,000 - 98,000; Full time

Job summary

Humana Inc. is seeking a Senior Coding Educator to identify opportunities to improve provider documentation and deliver tailored education plans. You will report to the Manager, Coding Education and lead risk adjustment initiatives for provider groups.

The role requires data analysis, development of education sessions, and collaboration with Quality/Cost Strategy and Network Performance teams. You will create PowerPoint presentations and webinars tailored to MRA topics, with on-site and remote

Qualifications

• AAPC CPC (Certified Professional Coder) Certification.
• 3+ years of risk adjustment provider education.
• 3+ years of medical record review knowledge.
• Medicare Risk Adjustment knowledge.
• Familiar with coding guidelines (i.e. ICD-9/ICD-10).
• Experience analyzing data to guide process improvements.
• Excel (formulas, pivot tables).
• Proficient at PowerPoint with experience presenting at multiple levels of leadership.

Responsibilities

• Responsible for creating and executing the risk adjustment strategy for each provider groups
• Analyze data and reporting and provides educational sessions with providers aimed at quality of care, documentation and coding improvements
• Collaboration with relationship owners and QCS (Quality and Cost Strategy)
• Monitor and develops strategy in collaboration with Network Performance team and the leader
• Tailor provider group webinars and discussions based on various MRA topics
• Creates compliant PowerPoint Presentations tailored to group strategy

Skills

Risk adjustment education

Medical record review

Medicare risk adjustment

Coding guidelines ICD-9/ICD-10

Data analysis

Excel

PowerPoint

Education

AAPC CPC Certification

Bachelor's degree

Certified Risk Coder (CRC)

Tools

Power BI

Job description

Humana Inc. is seeking a Senior Coding Educator to identify opportunities to improve provider documentation and deliver tailored education plans. You will report to the Manager, Coding Education and lead risk adjustment initiatives for provider groups.

The role requires data analysis, development of education sessions, and collaboration with Quality/Cost Strategy and Network Performance teams. You will create PowerPoint presentations and webinars tailored to MRA topics, with on-site and remote