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Medical Coder Educator

Remote / Online - Candidates ideally in
York, York County, South Carolina, 29745, USA
Listing for: Humana
Remote/Work from Home position
Listed on 2026-07-11
Job specializations:
  • Healthcare
    Healthcare Administration, Medical Billing and Coding
Job Description & How to Apply Below
** Become a part of our caring community*
* 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.

+ Provider onsite education, based on business needs

+ Collaboration 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

** Use your skills to make an impact*
* ** 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

LI-BB1

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…
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