Certified Medical Coder responsible for coding diagnoses and procedures for billing and reporting. Ensuring compliance with coding guidelines and acting as a resource for medical staff.
About the role
- Senior Coding Educator at Humana improving provider documentation and executing risk adjustment strategies. Engaging with providers through tailored educational sessions and compliance presentations.
Responsibilities
- Identify opportunities to improve provider documentation and create tailored education plans
- Create and execute the risk adjustment strategy for each provider group
- Analyze data and reporting and provide educational sessions with providers for quality of care
- Collaborate with relationship owners and HQRI to monitor and develop strategies
- Create compliant PowerPoint presentations tailored to group strategy
Requirements
- AAPC CPC (Certified Professional Coder) Certification
- 2 or more years of medical record review knowledge
- Familiar with coding guidelines (i.e. ICD-9/ICD-10)
- Live in Alabama or Tennessee
- Comprehensive knowledge of MS Word, Excel (v-look up, pivot tables) and PowerPoint (creating / presenting)
- Analyzing Data to drive process improvement
- Experience with public speaking /presentation skills
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- paid time off
- company and personal holidays
- volunteer time off
- paid parental and caregiver leave
- short-term and long-term disability
- life insurance
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