HIM Clinical Data Quality Auditor and Educator
Virta HealthSalary not specified
- Full Time
- Junior (1 to 2 years)
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
Candidates are required to possess an AHIMA or AAPC CPC (Certified Professional Coder) Certification, along with a minimum of 4 years of medical coding experience and knowledge of risk adjustment. Preferred qualifications include a Bachelor’s degree, CRC - Certified Risk Adjustment Coder, experience interacting with healthcare providers, strong technical skills in Microsoft Office applications, attention to detail, and excellent follow-up skills.
Responsibilities
The Coding Educator 2 will identify opportunities to improve provider documentation and create tailored education plans for assigned providers, arrange educational sessions focused on quality of care and documentation improvements, pull MRA reports, identify educational needs based on reports, create presentations, build ongoing relationships with staff and providers, deliver virtual and onsite education based on business needs, collaborate with other market provider-facing roles, and utilize Medicare Risk Adjustment knowledge.
Skills
Medical Coding
AHIMA
AAPC CPC
Risk Adjustment
Coding Guidelines
Microsoft Office
Public Speaking
Presentation Skills
Healthcare Provider Interaction
Medicare Risk Adjustment
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.
Key Metrics
Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees