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Humana Coding Education Liaison - Work at Home FL in Tampa, Florida

Description

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

Responsibilities

What We Do:

CenterWell and Conviva provide primary care in Florida, Georgia, Kansas, Louisiana, Missouri, Nevada, North Carolina, South Carolina and Texas. They have a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary care combined with an excellent patient experience.

We want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.

This Role

The Coding Educator 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.

  • The Coding Educator reviews medical records and arranges educational sessions aimed at coding and documentation improvements.

  • Understand department and organizational strategy as well as operating objectives.

  • Perform, develop, and implement coding related efficiency processes and assist leadership in monitoring professional coding.

  • Responsible foe analyzing physician coding trends and providing feedback that will contribute to effective and compliant coding and process efficiencies.

  • Satisfies training and development needs by researching, designing, and learning training programs.

  • Presents training and development programs by identifying learning objectives, selecting instructional methodologies.

  • Reinforces learning by selecting and utilizing training media.

  • Evaluates training and development effectiveness by assessing application of learning to job performance, recommending future training and development programs.

  • Counsels individual managers and employees by identifying learning requirements; designing an individual training or development program; coaching to improve performance.

  • Prepares training and resource manuals by identifying purpose, assembling, and composing information.

  • Maintains knowledge of instructional technologies by attending workshops; reviewing professional publications; establishing personal networks; participating in professional societies.

  • Contributes to team effort by accomplishing related results as needed.

  • In the future, must be able to travel 75% in the Orlando Area

Vaccine Policy

For this job, associates are required to be fully COVID vaccinated or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.

If progressed to offer, you will be required to:

Provide proof of full vaccination or commit to testing protocols OR  

Provide proof of applicable exemption including any required supporting documentation

Medical, religious, state and remote-only work exemptions are available.

Required Qualifications

  • A minimum of two years of medical coding experience

  • AAPC or AHIMA Coding Certification

  • Guide business and leadership in process improvement

  • Comprehensive knowledge of MS Word, Excel and PowerPoint

  • Ability to to problem solve complex issues

  • Must be a self starter and able to work independently

  • Must be able to communicate professionally and remain organized

  • Medical record review knowledge

  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

  • Bachelor's Degree

Additional Information

  • May be required to report to office as needed; <10% of time

Scheduled Weekly Hours

40

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