Medical Coder

Job Summary

The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports 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.
• Provide on‑site 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.

• AHIMA or AAPC CPC (Certified Professional Coder) Certification.
• 3 or more years of medical coding education and/or auditing experience in a healthcare setting.
• Proficiency with data analytics tools (e.g., Excel, Power BI, or similar) and experience interpreting large data sets.
• Experience speaking with leadership, webinars, public speaking and/or presentation skills with healthcare providers.
• Risk Adjustment knowledge.
• Familiarity 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 from home with travel up to 5% to surrounding provider offices.

Internet speed requirement: at least 25 Mbps download and 10 Mbps upload. Wireless, wired cable or DSL connection is recommended. Satellite, cellular or microwave connection may be used only with leadership approval.

40 hours per week.

$59,300 - $80,900 per year, with eligibility for a bonus incentive plan.

Competitive benefits including medical, dental, vision, 401(k), paid time off, paid parental and caregiver leave, short‑term and long‑term disability, life insurance and more.

Humana Inc. is a leading U.S. healthcare company delivering care to millions of people with Medicare and Medicaid, families, individuals, military service personnel, and communities.

Humana does not discriminate against any employee or applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and complies with Section 503 of the Rehabilitation Act and VEVRAA. All employment decisions are based on valid job requirements and include affirmative action policies.