Coding Quality Coach
WellSkySalary not specified
Full Time
Entry Level & New Grad, Junior (1 to 2 years)
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
Candidates must possess an AHIMA or AAPC CPC certification, have 4 or more years of medical coding experience, and demonstrate knowledge of Risk Adjustment and coding guidelines. A Bachelor's degree, CRC certification, experience interacting with healthcare providers, strong Microsoft Office skills, attention to detail, follow-up skills, a valid driver's license, and public speaking experience are preferred. Occasional travel up to 5% is also required.
Responsibilities
The Coding Educator 2 identifies opportunities for improving provider documentation and develops tailored education plans. Responsibilities include arranging educational sessions with providers for quality of care and documentation improvements, pulling MRA reports, identifying educational needs, creating presentations, building relationships with staff and provider teams, conducting virtual and onsite education, and collaborating with other market provider-facing roles.
Skills
Medical Coding
Risk Adjustment
Coding Guidelines
AHIMA CPC Certification
AAPC CPC Certification
CRC Certification
Microsoft Office
Public Speaking
Presentation Skills
Provider Education
Documentation Improvement
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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