Remote Senior Coding Educator - Risk Adjustment

Humana Inc; San Juan (PR); Remote; USD 71,000 - 98,000; Full time

Job summary

Humana Inc. is seeking a Senior Coding Educator to drive risk adjustment education for provider groups. You will design and deliver education plans, analyze data, and collaborate with the Quality and Cost Strategy team to improve documentation and coding processes.

The role involves creating webinars, presenting to leadership, and developing compliant PowerPoint presentations tailored to group strategy. Travel to Humana offices may be required for training or meetings.

Qualifications

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

Responsibilities

• Create and execute the risk adjustment strategy for each provider group.
• Analyze data and provide educational sessions with providers aimed at quality of care, documentation and coding improvements.
• Collaborate with relationship owners and QCS (Quality and Cost Strategy).
• Monitor and develop strategy in collaboration with Network Performance team and the leader.
• Tailor provider group webinars and discussions based on various MRA topics.
• Create compliant PowerPoint presentations tailored to group strategy.

Skills

CPC Certification

Risk Adjustment Ed

Medical Record Review

Medicare Risk Adjustment

ICD Coding Guidelines

Data Analysis

Excel

Pivot Tables

PowerPoint

Education

Bachelor's degree

Tools

Power BI

Job description

Humana Inc. is seeking a Senior Coding Educator to drive risk adjustment education for provider groups. You will design and deliver education plans, analyze data, and collaborate with the Quality and Cost Strategy team to improve documentation and coding processes.

The role involves creating webinars, presenting to leadership, and developing compliant PowerPoint presentations tailored to group strategy. Travel to Humana offices may be required for training or meetings.