[Remote] Senior Coding Educator at Humana

Alabama, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

AAPC CPC (Certified Professional Coder) Certification
2 or more years of medical record review knowledge
Familiar with coding guidelines (i.e. ICD-9/ICD-10)
Live in Eastern Standard Time (EST) or Central Standard Time (CST)
Comprehensive knowledge of MS Word, Excel and PowerPoint
Analyzing Data to drive process improvement
Experience with public speaking and presentation skills

Responsibilities

Identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider
Creates and executes the risk adjustment strategy for each provider groups
Analyzes data and reporting and provides educational sessions with providers aimed at quality of care, documentation and coding improvements
Collaborates with relationship owners and HQRI
Monitors and develops strategy with leader and Relationship Owner, tailors provider group webinars and discussions based on various MRA topics
Creates compliant PowerPoint Presentations tailored to group strategy

Skills

AAPC CPC

ICD-10

ICD-9

Medical Record Review

Risk Adjustment

PowerPoint

MS Excel

MS Word

Data Analysis

PowerBI

Public Speaking

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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