4 jobs found in Centreville

Humana Inc. is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and create education plans tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Work from home with travel up to 5% to surrounding provider offices. The role emphasizes data-driven teaching, on-site sessions, and collaboration with market provider-facing teams to elevate coding quality and documentation integrity. #J-18808-Ljbffr

Become a part of our caring community The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will 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...

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities 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. Provide on‑site education, based on business needs. 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 other relevant data to develop data‑driven educational materials and interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

Revenue Cycle Specialist Generates revenue by entering charges, submitting claims to payers, posting remits, working rejections, and reviewing/working accounts receivable; making payment arrangements; collecting accounts; monitoring and pursuing delinquent accounts. This is a full-time position. Benefits include health and dental insurance, 401(k), and paid time off. This job requires the employee to work at a physical location in Bibb County, specifically in Centreville, Alabama. Responsibilities & Duties Enters charges daily. Submits claims to insurance companies and government entities (including Medicare and Medicaid). Posts remits as available. Works rejections and accounts receivable. Collects delinquent accounts by establishing payment arrangements with patients; monitoring payments; following up with patients when payment lapses occur. Maintains medicare bad-debt cost report by tracking billings; monitoring collections; compiling information. Processes...