Medical Coding Educator

Become a part of our caring community and help us put health first.

The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Manager, Medicare Risk Adjustment.

• 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, based on business needs.
• Collaborate 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.
• Participate in cross-functional teams to improve documentation, data integrity, and workflow processes.

• 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 speaking with leadership, webinars public speaking and presentation skills with healthcare providers
• Medicare Risk Adjustment knowledge
• Familiar with coding guidelines
• Live in NC, SC, GA, VA, MD, TN, or FL

• Bachelor's Degree
• CRC
  -Certified Risk Adjustment Coder
• Experience working with healthcare providers
• Strong knowledge of all Microsoft Office applications
• Valid Driver's license and reliable transportation

Work at home - with travel (up to 5%) to surrounding provider offices

As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, a third‑party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision‑making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre‑recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre‑recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10‑15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5‑10 minutes. Your recorded interview(s) via text and/or pre‑recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

• 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

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

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$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.

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…