Senior Coding Educator
About The Position
The Senior Coding Educator identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. The role reports to the Manager, Coding Education and is responsible for creating and executing risk adjustment strategies for provider groups. It analyzes data and reporting and delivers educational sessions to providers focused on quality of care, documentation, and coding improvements. The educator collaborates with relationship owners, QCS (Quality and Cost Strategy), and the Network Performance team and its leader; tailors provider group webinars and discussions to Medicare Risk Adjustment topics; and creates compliant PowerPoint presentations tailored to group strategy. This is a remote position with occasional travel to Humana offices for training or meetings. Working hours will align with CST or EST, and the scheduled workweek is 40 hours. Employees must have a dedicated workspace that protects member PHI/HIPAA information and self-provided internet meeting minimum download and upload speeds of 25 Mbps and 10 Mbps, respectively. The position offers an estimated starting base salary range of $71,100 to $97,800 per year and is eligible for a bonus incentive plan.
Requirements
- AAPC CPC (Certified Professional Coder) certification.
- At least 3 years of risk adjustment provider education experience.
- At least 3 years of medical record review knowledge.
- Knowledge of Medicare Risk Adjustment.
- Familiarity with coding guidelines, including ICD-9 and ICD-10.
- Experience analyzing data to guide process improvements.
- Excel skills, including formulas and pivot tables.
- Proficiency in PowerPoint and experience presenting at multiple levels of leadership.
Nice To Haves
- Bachelor's degree.
- Certified Risk Coder (CRC) certification.
- Power BI knowledge.
- Medical coder or billing experience.
Responsibilities
- Create and execute the risk adjustment strategy for each provider group.
- Analyze data and reporting and provide educational sessions to providers to improve quality of care, documentation, and coding.
- Collaborate with relationship owners and QCS (Quality and Cost Strategy).
- Monitor and develop strategy in collaboration with the Network Performance team and its leader.
- Tailor provider group webinars and discussions to various Medicare Risk Adjustment topics.
- Create compliant PowerPoint presentations tailored to group strategy.
Benefits
- Medical benefits.
- Dental benefits.
- Vision benefits.
- 401(k) retirement savings plan.
- Paid time off, company holidays, and personal holidays.
- Paid parental and caregiver leave.
- Short-term and long-term disability insurance.
- Life insurance.
- Bonus incentive plan based on company and/or individual performance.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
