Senior Medical Coding Educator

HumanaHuntsville, AL
Remote

About The Position

The Senior Coding Educator identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. This role reports to the Manager, MRA Coding Education. As Senior Coding Educator, you will be responsible for creating and executing the risk adjustment strategy for each provider group. This involves analyzing data and reporting to provide educational sessions with providers, focusing on quality of care, documentation, and coding improvements. The role requires collaboration with relationship owners and HQRI, monitoring and developing strategy with other Coding educators and leaders, and tailoring provider group webinars and discussions based on various MRA topics. Additionally, the Senior Coding Educator will create compliant PowerPoint Presentations tailored to group strategy. This is a remote position, but requires occasional travel (up to 25%) to surrounding provider offices and Humana's offices for training or meetings.

Requirements

  • AAPC CPC (Certified Professional Coder) Certification
  • 2 or more years of medical record review knowledge
  • Familiar with coding guidelines (i.e. ICD-9/ICD-10)
  • Live in Alabama or Tennessee
  • Comprehensive knowledge of MS Word, Excel (v-look up, pivot tables) and PowerPoint (creating / presenting)
  • Analyzing Data to drive process improvement
  • Experience with public speaking / presentation skills
  • Self-provided internet service with at minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps (wireless, wired cable or DSL connection is suggested)
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Nice To Haves

  • Bachelor's degree
  • Certified Risk Coder (CRC)
  • Experience interacting with healthcare providers
  • Medicare Risk Adjustment knowledge
  • Analyzing data to build unique education strategies in PowerBi

Responsibilities

  • Identify opportunities to improve provider documentation
  • Create an education plan tailored to each assigned provider
  • Create and execute the risk adjustment strategy for each provider group
  • Analyze data and reporting and provide educational sessions with providers aimed at quality of care, documentation and coding improvements
  • Collaborate with relationship owners and HQRI
  • Monitor and develop strategy with Coding educator and leader
  • Tailor provider group webinars and discussions based on various MRA topics
  • Create compliant PowerPoint Presentations tailored to group strategy

Benefits

  • Competitive benefits that support whole-person well-being
  • Medical benefits
  • Dental benefits
  • 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 disability
  • Long-term disability
  • Life insurance
  • Bonus incentive plan (based upon company and/or individual performance)
  • Bi-weekly payment for internet expense for employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota
  • Telephone equipment appropriate to meet the business requirements for their position/job
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