Medical Coding Educator

Humana

Medical Coding Educator improving provider documentation and coding quality for Humana, a U.S. healthcare company.

Posted 8/4/2026full-timeRemote • North Carolina, South Carolina, Tennessee, Virginia • 🇺🇸 United StatesMid-LevelSenior💰 $59,300 - $80,900 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical coding education and auditing, with a strong focus on data analytics and compliance in healthcare settings. Proficient in developing educational materials and delivering presentations to enhance provider performance and documentation quality.

Highest-signal resume keywords

AHIMA Or AAPC CPC CertificationData Analytics Tools ProficiencyHealthcare Risk Adjustment ExperiencePublic Speaking Or Presentation SkillsExperience With Healthcare Providers

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Medical Coding EducationCoding Audit AnalysisData VisualizationHCC CodingCMS-HCC Model Version 28Interpreting Large Data SetsDocumentation ImprovementData IntegrityWorkflow Process ImprovementValue-Based Care Knowledge

Soft Skills

CollaborationCommunicationLeadership Interaction

Tools & Technologies

ExcelPower BIMicrosoft Office Applications

Certifications & Qualifications

AHIMA Or AAPC CPC CertificationCRC Certification

Industry Keywords

Medicare Risk AdjustmentPrimary Care KnowledgeHealthcare SettingProvider EducationPHI/HIPAA Compliance

About the role

Key responsibilities & impact

Arrange educational sessions with assigned providers to improve quality of care and documentation
Identify provider educational needs using reports
Prepare reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization
Deliver onsite education to providers
Collaborate with other market provider-facing roles
Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards
Analyze coding audit results and relevant data to develop data-driven educational materials and interventions
Work with teams to improve documentation, data integrity, and workflow processes
Report to the Manager, Medicare Risk Adjustment
Travel up to 5% to surrounding provider offices and occasionally to Humana offices for training or meetings

Requirements

What you’ll need

AHIMA or AAPC CPC (Certified Professional Coder) certification required
3 or more years of medical coding education or auditing experience in a healthcare setting
Proficiency with data analytics tools such as Excel, Power BI, or similar
Experience interpreting large data sets
Experience with healthcare risk adjustment, including HCC coding and CMS-HCC model version 28
Experience speaking with leadership
Webinar, public speaking, or presentation skills with healthcare providers
Must live in North Carolina, South Carolina, Georgia, Virginia, or Tennessee
Bachelor's degree preferred
Knowledge of value-based care preferred
Primary care knowledge preferred
Medicare Risk Adjustment knowledge preferred
CRC (Certified Risk Adjustment Coder) preferred
Experience working with healthcare providers preferred
Microsoft Office applications experience preferred
Valid driver's license and reliable transportation required for travel
Minimum 25 Mbps download and 10 Mbps upload internet speed required
Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information

Benefits

Comp & perks

Bonus incentive plan based upon company and/or individual performance
Medical benefits
Dental benefits
Vision benefits
401(k) retirement savings plan
Paid time off
Company holidays
Personal holidays
Paid parental leave
Paid caregiver leave
Short-term disability
Long-term disability
Life insurance
Internet expense payment for associates working from home in California, Illinois, Montana, or South Dakota
Telephone equipment provided as appropriate for business requirements
Remote work arrangement
Home office dedicated-space arrangement
Company-provided training and meetings
Whole-person well-being and personal wellness support