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The Medical Coding Educator 2 identifies opportunities to improve provider documentation and creates education plans tailored to assigned providers. This role reports to the Manager, Medicare Risk Adjustment.
Key responsibilities include:
- Arrange educational sessions with assigned providers aimed at improving quality of care and documentation.
- Identify educational needs based on reports.
- Prepare reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques.
- Provide onsite education to providers.
- 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.
- Work with teams to improve documentation, data integrity, and workflow processes.
This is a remote work-from-home position with occasional travel to surrounding provider offices and Humana offices for training or meetings.
Requirements & Qualifications
- AHIMA or AAPC CPC (Certified Professional Coder) certification.
- 3 or more years of medical coding education or auditing experience in a healthcare setting.
- Proficiency with data analytics tools such as Excel, Power BI, or similar, and experience interpreting large data sets.
- Knowledge of healthcare risk adjustment, including HCC coding and CMS-HCC model version 28.
- Experience speaking with leadership and strong webinar, public speaking, or presentation skills with healthcare providers.
- Must live in North Carolina, South Carolina, Georgia, or Virginia.
Preferred qualifications:
- Bachelor's degree.
- Value-based care experience.
- Primary care experience.
- Medicare Risk Adjustment knowledge.
- CRC (Certified Risk Adjustment Coder).
- Experience working with healthcare providers.
- Proficiency with Microsoft Office applications.
Benefits & Perks
- Bonus incentive plan eligibility based on company and/or individual performance.
- Medical, dental, and vision benefits.
- 401(k) retirement savings plan.
- Paid time off, company holidays, paid parental leave, and caregiver leave.
- Short-term and long-term disability coverage.
- Life insurance.
- Home office support, including telephone equipment for eligible remote associates.
- Bi-weekly internet expense payment for associates living and working from home in California, Illinois, Montana, or South Dakota.
Location
Georgia, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$59,300 - $80,900
Remote work allowed
Yes
Posted
4 weeks ago