Medical Coding Educator

Become a part of our caring community

The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reporting to the Manager, Medicare Risk Adjustment, key responsibilities include:

• Arranging educational sessions with assigned providers aimed at quality of care and documentation improvements
• Identifying educational needs based on reports
• Preparing comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques
• Providing onsite education based on business needs
• Collaborating with other market provider-facing roles
• Using data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards
• Analyzing coding audit results and other relevant data to develop data-driven educational materials and interventions
• Participating 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 or auditing in a healthcare setting experience
• Proficiency with data analytics tools (e.g., Excel, Power BI) and experience interpreting large data sets
• Experience presenting to leadership and healthcare providers via webinars and public speaking
• Knowledge of Medicare Risk Adjustment
• Familiarity with coding guidelines
• Residency in NC, SC, GA, VA, MD, TN, or FL

Preferred Qualifications:

• Bachelor's Degree
• CRC - Certified Risk Adjustment Coder
• Experience working with healthcare providers
• Strong knowledge of Microsoft Office applications
• Valid driver's license and reliable transportation

Additional Information:

• Remote work with up to 5% travel to surrounding provider offices
• Scheduled for 40 hours per week
• Eligible for bonus incentive plan based on company and/or individual performance

Benefits:

Humana offers competitive benefits supporting whole-person well-being including medical, dental, vision benefits, 401(k) plan, paid time off, parental and caregiver leave, disability, life insurance, and other opportunities.

About Humana:

Humana is a leading U.S. healthcare company making it easier for millions to achieve their best health, delivering care and service to Medicare and Medicaid populations and others.

Equal Opportunity Employer: Humana is committed to a diverse workplace and compliance with employment laws.