Humana
Cramerton, NC
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...