Clinical Coding Educator
Not Disclosed•Full-TimeRemote
location_on2015, West Street, Annapolis, Anne Arundel County, Maryland, 21401, United States
Humana is a leading U.S. healthcare company dedicated to making it easier for millions of people to achieve their best health. Through our insurance services and CenterWell healthcare services, we deliver the care and support needed when it is needed most. Our mission focuses on improving the quality of life for people with Medicare and Medicaid, families, military service personnel, and communities at large.
As a Clinical Coding Educator, you will become a vital part of our caring community by identifying opportunities to improve provider documentation and creating tailored education plans for each assigned provider. Reporting to the Manager of Medicare Risk Adjustment, this role bridges the gap between data analysis and clinical practice.
Your day will involve arranging educational sessions focused on quality of care and documentation improvements, while analyzing coding audit results to develop data-driven interventions. You will utilize data visualization techniques to prepare comprehensive reports on coding quality trends and risk areas. This position requires active collaboration with other market-facing roles and cross-functional teams to enhance documentation, data integrity, and workflow processes. Whether conducting onsite education based on business needs or presenting to leadership, you will use your expertise to drive compliance and accuracy in a dynamic healthcare environment.
As part of our hiring process, we utilize HireVue, a third-party technology, to enhance our decision-making. If selected to move forward from your application prescreen, you will receive an invitation to participate in a pre-recorded Voice Interview or an SMS Text Messaging interview.
Your recorded responses will be reviewed by our recruiters and hiring managers. You will be informed of your status regarding the next round of interviews shortly after this review.
This is a remote position with up to 5% travel required to surrounding provider offices for training or meetings. To ensure effective performance, associates must maintain a dedicated workspace free from ongoing interruptions to protect member PHI and HIPAA information. Your internet service must meet specific criteria, including a minimum download speed of 25 Mbps and upload speed of 10 Mbps. Humana provides appropriate telephone equipment for business requirements. Note that associates in California, Illinois, Montana, or South Dakota will receive a bi-weekly payment for internet expenses.
Humana is committed to being an Equal Opportunity Employer. We do not discriminate against any employee or applicant for employment based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status. We take affirmative action to employ and advance individuals with disabilities or protected veteran status in compliance with Section 503 of the Rehabilitation Act and VEVRAA. All employment decisions are based on valid job requirements, and we comply with all applicable federal civil rights laws, including providing free language interpreter services.
Work model: Remote
2015, West Street, Annapolis, Anne Arundel County, Maryland, 21401, United States
Annapolis, Maryland
Bachelor's Degree, CRC (Certified Risk Adjustment Coder) certification, experience working with healthcare providers, strong knowledge of all Microsoft Office applications, valid driver's license and reliable transportation, Medicare Risk Adjustment knowledge.
Skills: Ahima, CPC, Certified Professional Coder, CRC, Certified Risk Adjustment Coder, Excel, Power Bi, Microsoft Office, Risk Adjustment, Coding Guidelines.
Education: Bachelor's Degree preferred.
