Coding Educator

South Carolina, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Candidates must possess an AHIMA or AAPC CPC (Certified Professional Coder) Certification and have 3 or more years of experience in medical coding education and/or auditing within a healthcare setting. Proficiency with data analytics tools such as Excel, Power BI, or similar, and experience interpreting large data sets are required. Strong presentation skills, including public speaking and experience with leadership and webinars, are also necessary. Risk Adjustment knowledge and familiarity with coding guidelines are essential. Candidates must reside in South Carolina, North Carolina, or Georgia. Preferred qualifications include a Bachelor's Degree, CRC - Certified Risk Adjustment Coder certification, experience interacting with healthcare providers, strong technical knowledge of Microsoft Office applications, and a valid Driver's license with reliable transportation.

Responsibilities

The Coding Educator 2 will identify opportunities to enhance provider documentation and develop tailored education plans for assigned providers. Responsibilities include arranging educational sessions focused on quality of care and documentation improvements, and identifying educational needs based on reports. The role involves preparing comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Additionally, the educator will provide onsite education, collaborate with other market provider-facing roles, and utilize data analytics tools to assess coding quality and monitor compliance. Analyzing coding audit results to develop data-driven educational materials and participating in cross-functional teams to improve documentation, data integrity, and workflow processes are also key duties.

Skills

Medical Coding Education

Auditing

Data Analytics

Excel

Power BI

Data Visualization

Risk Adjustment

Coding Guidelines

Presentation Skills

Public Speaking

Webinars

Microsoft Office

Attention to Detail

Follow-up Skills

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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