Senior Coding Educator

Job Overview

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.

• Responsible for creating and executing the risk adjustment strategy for each provider group.
• Analyze data and reporting and provide educational sessions with providers aimed at quality of care, documentation and coding improvements.
• Collaborate with relationship owners and HQRI.
• Monitor and develop strategy with Coding educators and leaders, tailoring provider group webinars and discussions based on various MRA topics.
• Creates compliant PowerPoint presentations tailored to group strategy.

• AAPC CPC (Certified Professional Coder) Certification
• 2 or more years of medical record review knowledge
• Familiar with coding guidelines (i.e. ICD-9/ICD-10)
• Reside in AL, TN, LA, or MS
• Analyzing Data to drive process improvement
• Microsoft Word (creating documents) and Excel (formulas, pivot tables)
• PowerPoint (creating and presenting)
• Experience with public speaking / presentation skills

• Bachelor's degree
• Certified Risk Coder (CRC)
• Experience interacting with healthcare providers
• Medicare Risk Adjustment knowledge
• Analyzing data to build unique education strategies in Power Bi

Work at home with ability to travel (up to 35% to surrounding provider offices). In-person meetings, quarterly.

• 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. Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees 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 office employees with telephone equipment appropriate to meet the business requirements for their position.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Work from home requirements:
To ensure home or hybrid office employees’ ability to work effectively, the self-provided internet service must meet the above criteria. In certain roles, the minimum recommended internet speed 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.

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

40 hours per week.

$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.

Humana, Inc. and its affiliated subsidiaries offer competitive benefits that support whole-person well-being. Associate benefits include medical, dental and 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 and many other opportunities.

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.