Senior Coding Educator
Key Skills for This Role
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As the Senior Coding Educator you will be:
Responsible for creating and executing the risk adjustment strategy for each provider groups
Analyze data and reporting and provides educational sessions with providers aimed at quality of care, documentation and coding improvements
Collaboration with relationship owners and QCS (Quality and Cost Strategy)
Monitor and develops strategy in collaboration with Network Performance team and the leader
Tailor provider group webinars and discussions based on various MRA topics
Creates compliant PowerPoint Presentations tailored to group strategy
Required Qualifications
- AAPC CPC (Certified Professional Coder) Certification
- 3+ years of risk adjustment provider education
- 3+ years of medical record review knowledge
- Medicare Risk Adjustment knowledge
- Familiar with coding guidelines (i.e. ICD-9/ICD-10)
- Experience analyzing data to guide process improvements
- Excel (formulas, pivot tables)
- Proficient at PowerPoint with experience presenting at multiple levels of leadership
Preferred Qualifications
- Bachelor's degree
- Certified Risk Coder (CRC)
- Power BI knowledge
- Medical coder/billing experience
The hours will be CST or EST.
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About us
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
About Humana
Health insurance and care services provider.
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