Clinical / Medical Coding Supervisor
Grow TherapySalary not specified
Full Time
Mid-level (3 to 4 years), Senior (5 to 8 years)
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
Key technologies and capabilities for this role
Questions & Answers
Common questions about this position
What certifications are required for the Senior Coding Educator role?
AAPC CPC (Certified Professional Coder) Certification is required, along with 2 or more years of medical record review knowledge and familiarity with coding guidelines like ICD-9/ICD-10.
Is this a remote position, and what are the location requirements?
This is a work-at-home position with the ability to travel up to 25% to surrounding provider offices. Candidates must live in an Eastern Standard Time (EST) or Central Standard Time (CST) time zone.
What technical skills are needed for this job?
Comprehensive knowledge of MS Word, Excel, and PowerPoint is required, along with experience analyzing data to drive process improvement.
What is the salary or compensation for this role?
This information is not specified in the job description.
What makes a strong candidate for this Senior Coding Educator position?
Strong candidates will have the required AAPC CPC certification, medical record review experience, public speaking skills, and preferred qualifications like CRC certification, Medicare Risk Adjustment knowledge, and experience interacting with healthcare providers.
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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