The Senior Coding Educator identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Manager, Coding Education.
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
Use your skills to make an impact
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
Additional Information
The hours will be CST or EST.
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Work at Home Requirements: 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$71,100 - $97,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 10-30-2026
