[Remote] Coding Educator at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Candidates must possess an AAPC or AHIMA Coding Certification and at least 2 years of medical record review knowledge. A comprehensive understanding of MS Word, Excel, and PowerPoint, along with working experience in Adobe Acrobat, is required. Strong presentation skills, including public speaking and interacting with providers, are necessary. The role also demands the ability to problem-solve complex issues and guide business and leadership in process improvement. A dedicated, private home office space with no interruptions is mandatory. A Bachelor's degree or equivalent work and education experience is preferred, as are bilingual skills.

Responsibilities

The Coding Educator 2 will identify opportunities to enhance provider documentation and develop tailored educational plans for assigned providers. This role involves reviewing medical records and arranging educational sessions focused on improving quality of care and documentation. The educator will understand department, segment, and organizational strategies and make independent decisions regarding work methods, following established guidelines.

Skills

Medical record review

MS Word

MS Excel

MS PowerPoint

Adobe Acrobat

Presentation skills

Public speaking

Process improvement

AAPC

AHIMA

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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