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Clinical Coding Educator

Humana

Join a caring community as a Clinical Coding Educator, focused on improving provider documentation and delivering tailored education plans.

Responsibilities include arranging educational sessions aimed at improving quality of care and documentation, identifying educational needs based on reports, preparing reports and presentations on coding quality trends and risk areas, providing onsite education based on business needs, collaborating with market provider-facing roles, and using data analytics tools to assess coding quality and monitor compliance.

Analyze coding audit results to develop data-driven educational materials, participate in cross-functional teams to improve documentation and workflow processes, and contribute to data integrity efforts.

This role involves working remotely with occasional travel (up to 5%) to provider offices in the region.

Required qualifications include AHIMA or AAPC CPC certification, 3+ years medical coding education/auditing experience in healthcare, proficiency with data analytics tools (Excel, Power BI), experience presenting to healthcare providers and leadership, knowledge of Risk Adjustment and coding guidelines, and residence in NC, SC, GA, VA, MD, or TN.

Preferred qualifications include a Bachelor's Degree, CRC certification, experience working with healthcare providers, strong Microsoft Office skills, valid driver's license, and Medicare Risk Adjustment knowledge.

Humana offers a comprehensive benefits package including medical, dental, vision, 401(k), paid time off, short- and long-term disability, life insurance, and family support policies.

Employment is full-time with a 40-hour workweek. The compensation range is $59,300 to $80,900 annually, with eligibility for bonus incentives based on performance.

Requirements & Qualifications
  • AHIMA or AAPC CPC (Certified Professional Coder) Certification
  • Minimum 3 years experience in medical coding education and/or auditing in healthcare
  • Proficiency with Excel, Power BI, or similar data analytics tools
  • Experience presenting to healthcare providers and leadership
  • Knowledge of Risk Adjustment and coding guidelines
  • Residence in NC, SC, GA, VA, MD, or TN

Preferred:

  • Bachelor's Degree
  • CRC (Certified Risk Adjustment Coder) certification
  • Experience with healthcare providers
  • Strong knowledge of Microsoft Office
  • Valid driver's license and reliable transportation
  • Medicare Risk Adjustment knowledge
Benefits & Perks
  • Competitive medical, dental, and vision insurance
  • 401(k) retirement savings plan
  • Paid time off including company holidays and parental/caregiver leave
  • Short-term and long-term disability insurance
  • Life insurance
  • Tuition assistance
  • Leadership development and mentorship programs
  • On-site health screenings and personal health coaching

Location

North Carolina, US

Employment Type

Full-time

Experience Level

Associate

Salary Range

$59,300 - $80,900

Remote work allowed

Yes

Posted

1 week ago

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