Senior Coding Educator

Location

Remote | United States

Job description

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. This role is expected to develop an action plan and influence group adoption by effectively engaging providers and operational leaders, oversee its implementation and monitor outcomes.

South Carolina or Georgia

The Senior Coding Educator is responsible for creating and executing the risk adjustment strategy for each provider groups.

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

• Collaboration with provider engagement and Stars

• Collaboration with HQRI

• Understand and drive strategic initiatives

• Begins to influence department's strategy

• Presentation and webinars to leadership and providers

Required Qualifications

• AHIMA or AAPC CPC (Certified Professional Coder) Certification

• Medical record review knowledge

• Medicare Risk Adjustment knowledge

• Extensive knowledge of 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

• Live in Georgia or South Carolina

Preferred Qualifications

• Bachelor's degree

• Certified Risk Coder (CRC)

• Experience interacting with healthcare providers

• CPC- I

Additional Information

Work at home – with ability to travel (up to 10%) to surrounding provider offices

Hours Monday- Friday 8-5 / 7-4:30

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Work at Home Guidance

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

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

• Satellite, cellular and microwave connection can be used only if approved by leadership

• Associates 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 associates 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

Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/yammer and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.

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Scheduled Weekly Hours

40

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.

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 because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.

Job tags

Salary