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Medical Coding Educator
Medical Coding EducatorHumana • Fort Lauderdale, FL, US
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Medical Coding Educator

Medical Coding Educator

Humana • Fort Lauderdale, FL, US
17 days ago
Job type
  • Full-time
Job description

Coding Educator 2

The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Manager, Coding Education.

South Florida

Coding Educator 2, you will :

  • Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements.
  • Pull MRA reports, identify educational needs based on reports and presenting information.
  • Utilize data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards.
  • Participate in cross-functional teams to improve documentation, data integrity, and workflow processes.
  • Build ongoing relationships with staff and providers teams.
  • Provide virtual education and / or provider onsite education, based on business needs.
  • Collaborate with other market provider facing roles.

Required Qualifications :

  • AHIMA or AAPC CPC (Certified Professional Coder) Certification
  • 4 or more years of medical coding experience
  • Risk Adjustment knowledge
  • Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets
  • Preferred Qualifications :

  • Bachelor's Degree
  • CRC -Certified Risk Adjustment Coder
  • Experience interacting with healthcare providers
  • Strong technical knowledge of all Microsoft Office applications
  • Valid Driver's license and reliable transportation
  • Experience with public speaking and presentation skills with healthcare providers
  • Medicare Risk Adjustment knowledge
  • Additional Information :

    Work at home - with travel (up to 25%) to surrounding provider offices.

    As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

    If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and / or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

    If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and / or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

    Work at Home Guidance :

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
  • Satellite, cellular and microwave connection can be used only if approved by leadership
  • Associates 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 associates 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
  • Travel : While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

    Scheduled Weekly Hours : 40

    Pay Range : $59,300 - $80,900 per year

    This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and / or individual performance.

    Referral Bonus Information : This requisition is not eligible for a referral bonus.

    About CarePlus Health Plans : CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties.

    About Humana : Humana Inc. (NYSE : HUM) is committed to putting health first for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

    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.

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    Medical Coding Educator • Fort Lauderdale, FL, US

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