Note: The job is a remote job and is open to candidates in USA. Humana is a leading U.S. healthcare company that provides insurance and healthcare services. The Senior Coding Educator will identify opportunities to improve provider documentation and create tailored education plans, focusing on risk adjustment strategies and quality of care.
Responsibilities
- 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 HQRI
- Monitor and develops strategy with Coding educator and leader, tailor's provider group webinars and discussions based on various MRA topics
- Creates compliant PowerPoint Presentations tailored to group strategy
Skills
- 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)
- Reside in LA or MS or willing to relocate within 6 months
- Microsoft Word (creating documents) and Excel (formulas, pivot tables)
- PowerPoint (creating and presenting)
- Analyzing Data to drive process improvement
- Experience with public speaking /presentation skills
- Bachelor's degree
- Shreveport, LA within an hour
- Certified Risk Coder (CRC)
- Experience interacting with healthcare providers
- Medicare Risk Adjustment knowledge
- Analyzing data to build unique education strategies in PowerBi
Benefits
- Bonus incentive plan
- Medical, dental and vision benefits
- 401(k) retirement savings plan
- Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- Short-term and long-term disability
- Life insurance
- Bi-weekly payment for their internet expense (for employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota)
- Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job
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