Medical Coder Educator

Medical Coder / Coding Educator 2

The Medical Coder / 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.

As the Medical Coder / Coding Educator 2 you will:

• 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.
• Provide provider onsite education, based on business needs.
• Collaborate 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.

Required Qualifications:

• AHIMA or AAPC CPC (Certified Professional Coder) Certification.
• 3 or more years of medical coding education and/or auditing in a healthcare setting experience.
• 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.

Preferred Qualifications:

• 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.

Additional Information:

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.

Work at Home Guidance:

To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

• 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.

Scheduled Weekly

Hours:

40

Pay Range: $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.

Description of Benefits:

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person…