Clinical Coding Educator

Become a part of our caring community.

The Clinical Coding Educator / 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:

• Arrange educational sessions with assigned providers focused on 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.
• Deliver provider onsite education as needed.
• Collaborate with other market provider facing roles.
• Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with standards.
• Analyze coding audit results to develop data-driven educational materials.
• Participate in cross-functional teams to improve documentation, data integrity, and workflow processes.

Required qualifications:

• AHIMA or AAPC CPC Certification.
• 3+ years medical coding education and/or auditing experience in healthcare.
• Proficiency with data analytics tools (Excel, Power BI, etc.) and interpreting large data sets.
• Experience presenting to leadership and healthcare providers.
• Knowledge of Risk Adjustment and coding guidelines.
• Residency in NC, SC, GA, VA, MD, or TN.

Preferred qualifications:

• Bachelor's Degree.
• CRC - Certified Risk Adjustment Coder.
• Experience working with healthcare providers.
• Proficient in Microsoft Office.
• Valid driver's license and reliable transportation.
• Medicare Risk Adjustment knowledge.

Additional information:

• Remote work with up to 5% travel to provider offices.
• Work requires a reliable home internet connection and a dedicated workspace to protect PHI/HIPAA.
• 40 hours per week.

Compensation:

• $59,300 - $80,900 per year plus bonus incentive plan based on performance.

Benefits include medical, dental, vision, 401(k), paid time off, parental leave, disability, life insurance, and more.

About Humana: Humana Inc. is a leading U.S. healthcare company providing integrated care and service to people with Medicare and Medicaid, families, individuals, and communities.

Equals opportunity employer committed to diversity and inclusion.