Medical Coding Educator

This is a fully remote position, open to applicants in North Carolina, +3 more states.

📋 Description

• Organize educational sessions with designated providers to enhance the quality of care and documentation.

• Assess the educational needs of providers by utilizing reports.

• Create reports and presentations that showcase coding quality trends, risk areas, and educational outcomes through data visualization.

• Provide onsite education to providers.

• Collaborate with other roles that interact with providers in the market.

• Employ data analytics tools to evaluate coding quality, identify error patterns, and ensure compliance with both internal and external standards.

• Analyze results from coding audits and associated data to develop educational materials and interventions based on data insights.

• Partner with teams to enhance documentation, data integrity, and workflow processes.

• Report directly to the Manager of Medicare Risk Adjustment.

• Travel up to 5% to nearby provider offices and occasionally to Humana offices for training or meetings.

⛳️ Requirements

• Certification from AHIMA or AAPC as a Certified Professional Coder (CPC) is required.

• A minimum of 3 years of experience in medical coding education or auditing within a healthcare environment.

• Proficient in data analytics tools, including Excel, Power BI, or similar applications.

• Experience in interpreting large datasets.

• Familiarity with healthcare risk adjustment, including HCC coding and the CMS-HCC model version 28.

• Experience communicating with leadership.

• Skills in webinar delivery, public speaking, or presentations with healthcare providers.

• Must reside in North Carolina, South Carolina, Georgia, Virginia, or Tennessee.

• A Bachelor’s degree is preferred.

• Knowledge of value-based care is preferred.

• Understanding of primary care concepts is preferred.

• Familiarity with Medicare Risk Adjustment is preferred.

• Certification as a Certified Risk Adjustment Coder (CRC) is preferred.

• Experience working with healthcare providers is preferred.

• Proficiency in Microsoft Office applications is preferred.

• A valid driver's license and reliable transportation are required for travel.

• A minimum internet speed of 25 Mbps download and 10 Mbps upload is required.

• Ability to work from a dedicated space without interruptions to safeguard member PHI/HIPAA information.

🏝️ Benefits

• Bonus incentive plan based on company and/or individual performance.

• Medical insurance benefits.

• Dental insurance benefits.

• Vision insurance benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays.

• Personal holidays.

• Paid parental leave.

• Paid caregiver leave.

• Short-term disability benefits.

• Long-term disability benefits.

• Life insurance coverage.

• Internet expense reimbursement for associates working from home in California, Illinois, Montana, or South Dakota.

• Telephone equipment provided as necessary for business needs.

• Remote work options available.

• Arrangement for a dedicated home office space.

• Training and meetings provided by the company.

• Support for whole-person well-being and personal wellness.