Senior Coding Educator

Employment Type

Full time

About the Role

Become a part of our caring community and help us put health first. The Senior Coding Educator identifies opportunities to improve provider documentation and coding, and creates an education plan tailored to each assigned provider. The Senior Coding Educator's work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Senior Coding Educator is responsible for reviewing and analyzing internal data and medical records, as well as coordinating educational sessions with providers to enhance quality of care, documentation, and coding practices across multiple assigned provider groups. This role contributes to departmental strategy and process improvements, makes decisions on moderately complex to complex technical issues related to project components with minimal supervision, and demonstrates significant autonomy in setting objectives and determining approaches to assignments while collaborating with various departments within the organization.

Use your skills to make an impact.

Required Qualifications

• High school diploma or equivalent
• Must hold AAPC CPC (Certified Professional Coder) certification
• 2 years or more experience with ICD-10 CM guidelines
• Prior experience in provider education
• Strong knowledge of medical record review
• Understanding of billing, claims submission, and related processes
• Proficient in Microsoft Word, Excel, and PowerPoint
• Ability to resolve complex problems
• Excellent interpersonal, public speaking, and presentation abilities
• Experience guiding business leaders and teams in process improvement initiatives
• Proven ability to manage multiple priorities and projects concurrently
• Ability to travel to provider offices within region (TX, AR, or OK) upon business discretion
• Must have reliable transportation

This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

Preferred Qualifications

• Bachelor's Degree
• Previous experience in Medicare Advantage or Value-Based Care
• AAPC CRC (Certified Risk Adjustment) Certification
• AAPC CDEO (Certified Documentation Expert Outpatient) Certification

Additional Information

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Work At Home / Internet Guidance

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

SSN Information

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information.