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Humana

Medical Coding Educator

Humana

Medical Coding Educator identifying documentation improvement opportunities and providing education to healthcare providers. Collaborating with cross-functional teams to enhance coding practices and auditing processes.

Posted 4/29/2026full-timeFlorida, Maryland, North Carolina, South Carolina, Tennessee, Virginia • 🇺🇸 United StatesMid-LevelSenior💰 $59,300 - $80,900 per yearWebsite

About the role

Key responsibilities & impact
  • identify opportunities to improve provider documentation and creates an education plan tailored to each assigned provider
  • report to the Manager, Medicare Risk Adjustment
  • arrange educational sessions with assigned providers aimed at quality of care and documentation improvements
  • identify educational needs based on reports
  • prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques
  • provider onsite education, based on business needs
  • collaboration with other market provider facing role
  • use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards
  • analyze coding audit results and other relevant data to develop data-driven educational materials and interventions
  • participate in cross-functional teams to improve documentation, data integrity, and workflow processes

Requirements

What you’ll need
  • AHIMA or AAPC CPC (Certified Professional Coder) Certification
  • 3 or more years of medical coding education or auditing in a healthcare setting experience
  • Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience interpreting large data sets
  • Experience speaking with leadership, webinars public speaking and presentation skills with healthcare providers
  • Medicare Risk Adjustment knowledge
  • Familiar with coding guidelines
  • Live in NC, SC, GA, VA, MD, TN, or FL

Benefits

Comp & perks
  • medical, dental and vision benefits
  • 401(k) retirement savings plan
  • time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
  • short-term and long-term disability
  • life insurance
  • many other opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
medical codingcoding auditdata visualizationdata analyticscompliance monitoringeducational material developmenterror pattern identificationdocumentation improvementworkflow process improvementlarge data set interpretation
Soft Skills
presentation skillspublic speakingcollaborationeducational planningcommunication with leadershipprovider educationanalytical thinkingreport preparationcross-functional teamworktailored education
Certifications
AHIMA CertificationAAPC CPC Certification