Medical Coder

Overview

Become a part of our caring community The Clinical Coding Educator / 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.

• 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.
• Collaboration with other market provider facing roles.
• 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 and/or auditing in a healthcare setting
• Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets
• Experience speaking with leadership, webinars public speaking and/or presentation skills with healthcare providers
• Risk Adjustment knowledge
• Familiar with coding guidelines
• Live in NC, SC, GA, VA, MD or TN

• 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
• Medicare Risk Adjustment knowledge

• Work at home - with travel (up to 5%) to surrounding provider offices
• As part of our hiring process, we will be using an 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 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 interview questions via your phone. This interview is expected to take approximately 10-15 minutes.
• If participating in a SMS Text interview, you will be asked a series of questions answered via cell phone or computer. This interview is expected to last 5-10 minutes. Your recorded interview(s) will be reviewed and you will be informed if you will move forward to the next round.

• To ensure Home or Hybrid Home/Office Associates can work effectively, the self-provided Internet service must meet minimum criteria: minimum download 25 Mbps and upload 10 Mbps; wireless, wired cable or DSL connections are acceptable.
• Satellite, cellular and microwave connections require leadership approval.
• Associates living and working from Home in California, Illinois, Montana, or South Dakota may receive a bi-weekly internet expense payment.
• Humana will provide home/Hybrid home/office associates with telephone equipment appropriate to meet business requirements.
• Work from a dedicated space with limited interruptions to protect member PHI / HIPAA information.

Travel:
While this is a remote position, occasional travel to Humana 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.

Humana, Inc. and its…