Senior Coding Educator

Humana Inc; United States; Remote; USD 71,000 - 98,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) retirement savings plan

Time off (including paid time off, ...

Short-term and long-term disability

Life insurance

Many other opportunities

Job summary

Humana Inc. seeks a Senior Coding Educator to improve provider documentation and tailor an education plan for each assigned provider group. You will report to the Manager, Coding Education and lead risk adjustment initiatives, data analysis, and targeted webinars.

The role emphasizes collaboration with QCS and Network Performance, delivering presentations to leadership. Responsibilities include developing webinars, analyzing data to guide improvements, and creating compliant PowerPoint

Qualifications

• CPC certification required and risk adjustment provider education experience.
• 3+ years of risk adjustment provider education and medical record review knowledge.
• Medicare Risk Adjustment knowledge and familiarity with ICD-9/ICD-10 guidelines.
• Experience analyzing data to guide process improvements and Excel pivot tables.

Responsibilities

• Identify opportunities to improve provider documentation and create an education plan.
• Analyze data and provide educational sessions with providers on quality, documentation and coding.
• Collaborate with relationship owners and QCS (Quality and Cost Strategy).
• Monitor strategy with Network Performance and leadership.
• Tailor webinars and discussions based on various MRA topics.
• Create compliant PowerPoint presentations tailored to group strategy.

Skills

Data analysis

PowerPoint presentation skills

Coding guidelines knowledge

Education

AAPC CPC Certification

Bachelor's degree

Tools

Excel

Power BI

Job description

Become a part of our caring community

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. As the Senior Coding Educator you will be:

• 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
• Use your skills to make an impact

Required 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

Preferred Qualifications

• Bachelor's degree
• Certified Risk Coder (CRC)
• Power BI knowledge
• Medical coder/billing experience

Additional Information

The hours will be CST or EST. #LI-LM1 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. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Benefits

• Medical benefits
• Dental benefits
• 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
• Many other opportunities

Application Deadline: 10-30-2026

About us

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.