Coding Educator

South Carolina, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Candidates must possess an AHIMA or AAPC CPC certification and have 3 or more years of experience in medical coding education and/or auditing within a healthcare setting. Proficiency in data analytics tools like Excel or Power BI, experience interpreting large datasets, and strong presentation skills for leadership and public speaking are required. Knowledge of Risk Adjustment and coding guidelines is necessary, and candidates should reside in South Carolina or Georgia. A Bachelor's degree, CRC certification, experience with healthcare providers, strong Microsoft Office skills, attention to detail, and a valid driver's license are preferred.

Responsibilities

The Coding Educator will identify opportunities to enhance provider documentation and develop tailored education plans. Responsibilities include arranging educational sessions for quality and documentation improvements, identifying educational needs through reports, and preparing comprehensive reports and presentations on coding quality trends using data visualization. The role involves providing onsite education, collaborating with other market provider-facing roles, and utilizing data analytics to assess coding quality and monitor compliance. Responsibilities also include analyzing audit results to create data-driven educational materials and participating in cross-functional teams to improve documentation and processes.

Skills

Medical coding education

Auditing

Data analytics

Excel

Power BI

Data visualization

Public speaking

Presentation skills

Risk Adjustment

Coding guidelines

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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