Medical Coding Educator

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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.

Responsibilities:

• 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 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+ years of medical coding education or auditing experience in a healthcare setting.
• Proficiency with data analytics tools (Excel, Power BI, or similar) and experience interpreting large data sets.
• Experience speaking with leadership, public speaking, webinars, and presentation skills with healthcare providers.
• Medicare Risk Adjustment knowledge.
• Familiarity with coding guidelines.
• Residency in NC, SC, GA, VA, MD, TN, or FL.

Preferred Qualifications:

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

Additional Information:

• Work from home with up to 5% travel to surrounding provider offices.
• Scheduled weekly hours: 40.
• Pay range: $59,300 - $80,900 per year.
• Bonus incentive plan available based on company and individual performance.

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

Note: Interviewing may include pre-recorded voice or SMS text interviews via HireVue technology.

Work at Home Guidance includes internet speed requirements and policies to protect member PHI/HIPAA information.

Travel: Occasional travel to Humana offices may be required for training or meetings.