Provider Data Validation Coding Educator 2

Profile

Description

The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. The Coding Educator 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Coding Educator 2 reviews medical records and arranges educational sessions with providers aimed at quality of care and documentation improvements. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

Humana is seeking a Coding Educator 2 who will be responsible for the following:

Complete medical coding reviews for accuracy of risk adjustment (HCC) diagnosis (ICD-10) code submissions at a high accuracy level.

Educate providers and medical coding and administrative staffs on correct coding for accuracy of risk adjustment (HCC) diagnosis (ICD-10) code submissions.

Collaborate with other PDV (provider data validation team) coding educator 2 to coordinate completion of PDV coding reviews and educations.

Consistently meet or exceed production expectations outlined for the role.

Apply Adult Learning Principles using a wide variety of methods and media to deliver technical content.

Demonstrate technical knowledge through the use of technological applications.

Deliver content professionally by stating a clear course purpose with objective(s).

Set clear expectations and goals.

Demonstrate a face to face communication style and address issues as they arise.

Support the team's success by providing necessary resources and breaking down barriers.

Provide necessary resources and helps to remove obstacles while demonstrating personal commitment to the group.

Act promptly in routine situation while building productive relationships and establishing rapport.

Required Qualifications

High school diploma or equivalent

AAPC Coding Certification

Comprehensive knowledge of MS Word, Excel and PowerPoint

Problem solve complex issues

Guide business and leadership in process improvement

Medical record review knowledge

Strong attention to detail and exceptional follow up skills

Exceptional interpersonal, public speaking and presentation skills

Must be willing to travel (up to 50%) within the US (Post-Covid)

Monday-Friday 8 hours 1st shift (7:00a-3:30p, 7:30a-4:00p, 8:00a-4:30p, or 8:30-5:00p)

Preferred Qualifications

Bachelor's or Associate's Degree

CRC, CPC-I and/or CPMA credentials from the AAPC

Experience educating providers and medical coding and administrative staffs about medical coding and documentation best practices.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com