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  5. Medical Coding Educator
Humana logo

Medical Coding Educator

Not Disclosed•Full-TimeRemote

location_on2015, West Street, Annapolis, Anne Arundel County, Maryland, 21401, United States

Apply Now

About Us

Humana Inc. (NYSE: HUM) is committed to putting health first—for our teammates, our customers, and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health by 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.

About the Role

As a Coding Educator 2, you will become a vital part of our caring community, identifying opportunities to improve provider documentation and creating education plans tailored to each assigned provider. Reporting to the Manager, Medicare Risk Adjustment, your mission is to partner with providers to enhance the quality of care and documentation accuracy.

In this role, you will arrange educational sessions focused on quality improvements and identify specific educational needs based on data reports. You will prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Your day-to-day involves analyzing coding audit results to develop data-driven educational materials and interventions, while collaborating with other market-facing roles to ensure seamless support. You will also participate in cross-functional teams to improve documentation, data integrity, and workflow processes, occasionally providing onsite education based on business needs.

Hiring Process

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 correspondence inviting you to participate in a pre-recorded Voice Interview or an SMS Text Messaging interview.

  • Voice Interview: You will respond to a set of questions via your phone. This typically takes approximately 10-15 minutes.
  • SMS Text Interview: You will answer a series of questions using your cell phone or computer. This process lasts anywhere from 5-10 minutes.

Your recorded responses will be reviewed, and you will be informed if you are moving forward to the next round of interviews.

Work at Home Guidance

This is a remote position with up to 5% travel to surrounding provider offices. To ensure effective work from home, your self-provided internet service must meet specific criteria: a minimum download speed of 25 Mbps and an upload speed of 10 Mbps is recommended (wireless, wired cable, or DSL). Satellite, cellular, and microwave connections are only permitted if approved by leadership. Associates working from home in California, Illinois, Montana, or South Dakota will receive a bi-weekly payment for internet expenses. Humana will also provide appropriate telephone equipment. You must work from a dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information.

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. Humana takes affirmative action to employ and advance individuals with disabilities or protected veteran status. We comply with all applicable federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity, or religion. We also provide free language interpreter services.

Similar Job Opportunities

Washington Regional logo

Inpatient Coding Manager (Salaried, Full Time)

Washington Regional • Fayetteville, Arkansas

Not Disclosedarrow_forward
CenterWell logo

Associate Director, Coding Education

CenterWell • Santa Fe, New Mexico

$95k-131karrow_forward

Work location

Work model: Remote

location_on

2015, West Street, Annapolis, Anne Arundel County, Maryland, 21401, United States

Annapolis, Maryland

Key Responsibilities

  • check_circleArrange educational sessions with providers to improve quality of care and documentation
  • check_circlePrepare comprehensive reports and presentations on coding quality trends and risk areas
  • check_circleUse data analytics tools to assess coding quality and monitor compliance with standards
  • check_circleAnalyze coding audit results to develop data-driven educational materials and interventions
  • check_circleCollaborate with cross-functional teams to improve documentation and workflow processes
  • check_circleConduct onsite provider education sessions based on business needs
  • check_circleIdentify educational needs based on analysis of reports and data

Requirements

  • verifiedAHIMA or AAPC CPC Certification
  • verified3+ years medical coding education or auditing experience
  • verifiedProficiency with data analytics tools (Excel, Power BI)
  • verifiedExperience speaking with leadership and public presentation skills
  • verifiedMedicare Risk Adjustment knowledge
  • verifiedFamiliarity with coding guidelines
  • verifiedLive in NC, SC, GA, VA, MD, TN, or FL

Nice to Have

Bachelor's Degree, CRC (Certified Risk Adjustment Coder) certification, experience working with healthcare providers, strong knowledge of all Microsoft Office applications, and a valid driver's license with reliable transportation.

Benefits & Perks

check_circleMedical, dental, and vision benefitscheck_circle401(k) retirement savings plancheck_circlePaid time off, company holidays, volunteer time off, paid parental and caregiver leavecheck_circleShort-term and long-term disability insurancecheck_circleLife insurance coveragecheck_circleBi-weekly internet expense payment for associates in California, Illinois, Montana, or South Dakotacheck_circleTelephone equipment provided for Home or Hybrid associatescheck_circleBonus incentive plan based on company and/or individual performance
Humana cover image
Humana logo
Company

Humana

Industry

Insurance

Headquarters

Louisville, Kentucky

Open Roles

2

HUMANA, headquartered in Louisville, Kentucky, operates in the insurance industry with a focus on enhancing member well-being through tailored healthcare solutions. The company designs adaptable services to address individual, family, and community health needs, emphasizing innovation and accessibility in evolving healthcare landscapes. By developing resources that empower people to manage their health on their terms, HUMANA aims to simplify complex healthcare experiences while prioritizing personalized care. The organization values its workforce as a critical component of its mission, seeking professionals dedicated to customer-centric outcomes. Employees are encouraged to contribute expertise and passion toward creating impactful, whole-person health strategies. With a commitment to evolving solutions, HUMANA supports diverse communities by delivering healthcare resources aligned with individual preferences and local requirements.
View company profilearrow_forwardlanguageWebsitelinkLinkedIn
Quick Overview

Experience

3+ yrs (Mid Level)

Education

Bachelor's Degree preferred

Job Type

Full-Time

Skills Required

AhimaAapc CPCCRCExcelPower BiMicrosoft Office
Recrutus

Curating the world's most innovative career opportunities. We bridge the gap between visionary talent and industry-leading companies.

Search roles by city, category, skill, or job type — explore verified employers, salary benchmarks, and remote-friendly teams across India and beyond.

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Terms of serviceCookie policyAcceptable useDMCA policyEmployer termsCandidate terms
Medicare Risk Adjustment
Coding Guidelines
Data Analytics
Data Visualization
Accessibility