Medical Coder Job at Humana, Inc., United States

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  • Humana, Inc.
  • United States

Job Description

Medical Coder / Coding Educator 2

The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment.

As the Medical Coder / Coding Educator 2 you will:

  • 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.
  • Provider onsite education, based on business needs
  • Collaboration with other market provider facing role
  • 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 or more years of medical coding education and / or auditing in a healthcare setting experience
  • Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets
  • Experience speaking with leadership, webinars public speaking and/or presentation skills with healthcare providers
  • Risk Adjustment knowledge
  • Familiar with coding guidelines
  • Live in NC, SC, GA, VA, MD or TN

Preferred Qualifications:

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

Additional Information:

Work at home - with travel (up to 5%) to surrounding provider offices

Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Scheduled Weekly Hours: 40

Pay Range: $59,300 - $80,900 per year

Description of Benefits:

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Job Tags

Temporary work, Live in, Work at office, Remote work, Work from home

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