Company name
Humana Inc.
Location
Lancaster, SC, United States
Employment Type
Full-Time
Industry
Healthcare
Posted on
Jun 10, 2023
Profile
Description
The Senior Coding Educator identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider.
Responsibilities
The Senior Coding Educator is responsible for creating and executing the risk adjustment strategy for each provider groups.
Analyzes data and reporting and provides educational sessions with providers aimed at quality of care, documentation and coding improvements.
Collaboration with provider engagement and Stars
Collaboration with HQRI
Understand and drive strategic initiatives
Begins to influence department's strategy.
Required Qualifications
AHIMA or AAPC CPC (Certified Professional Coder) Certification
Medical record review knowledge
Medicare Risk Adjustment knowledge
Familiar with coding guidelines (i.e. ICD-9/ICD-10)
Comprehensive knowledge of MS Word, Excel and PowerPoint
Analyzing Data to drive process improvement
Preferred Qualifications
Bachelor's degree
Certified Risk Coder (CRC)
Experience interacting with healthcare providers
CPC- I
Additional Information
Work at home - with ability to travel (up to 10%) to surrounding provider offices
As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, 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
To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
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
Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/yammer and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.
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Scheduled Weekly Hours
40
Humana complies with all applicable federal civil rights laws and does 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. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Company info
Humana Inc.
Website : http://www.humana.com