Become a part of our caring community and help us put health first
 

The Senior Coding Educator identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Director-Quality/Stars and Risk Adjustment.

The Senior Coding Educator creates and executes the risk adjustment strategy for each provider groups.

• Analyze data and reporting and provides educational sessions with providers aimed at quality of care, documentation and coding improvements.

• Collaboration with relationship owners and HQRI

• Research data and workflow processes and arranges educational sessions with providers aimed at quality of care and documentation improvements.

• Monitor and develops strategy with Coding educator and leader, tailor's provider group webinars and discussions based on multiple Risk Adjustment topics.

Use your skills to make an impact
 

Required Qualifications

• Live in CST or EST state

• AAPC CPC (Certified Professional Coder) Certification

• 2 or more years of medical record review knowledge

• 2 or more years of risk adjustment provider education

• Familiar with coding guidelines (i.e. ICD-9/ICD-10)

• Comprehensive knowledge of MS Word, Excel and PowerPoint

• Analyzing Data to drive process improvement

• Experience with public speaking and presentation skills

Preferred Qualifications

• 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

Additional Information

Department Hours: 7am to 5pm EST

You will work at home /remote and travel (up to 25% to surrounding provider offices).

HireVue

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Work at Home

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership.

• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

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

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$71,100 - $97,800 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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.

About us
 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.