12 medical coder educator risk adjustment trainer jobs found

Humana seeks a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and to create education plans tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. The role involves arranging educational sessions, analyzing coding data with Excel/Power BI, and presenting findings to leadership. Eligible for remote work with travel up to 5% to provider offices. #J-18808-Ljbffr

Humana seeks a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and create tailored education plans for assigned providers. You will report to the Manager, Medicare Risk Adjustment and lead teaching sessions to enhance coding quality. You will analyze data to spot trends, prepare reports, and deliver on-site training. The role requires 3+ years in coding education/auditing, CPC certification, and strong data analytics skills. #J-18808-Ljbffr

Humana is seeking a Medical Coder / Coding Educator 2 to identify and close gaps in provider documentation and create tailored education plans. The role reports to the Manager, Medicare Risk Adjustment and involves on-site education with travel up to 5%. You will analyze coding quality, prepare trend reports, and deliver webinars or presentations to leadership and providers, leveraging tools like Excel and Power BI. #J-18808-Ljbffr

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and tailor education plans for assigned providers. The role reports to the Manager, Medicare Risk Adjustment. You will arrange educational sessions, analyze reports to identify needs, and deliver data-driven education to improve coding quality and documentation accuracy across markets. #J-18808-Ljbffr

Humana is seeking a Medical Coder / Coding Educator 2 to improve provider documentation and tailor education plans for each provider, reporting to the Manager, Medicare Risk Adjustment. Responsibilities include arranging sessions, identifying needs from reports, creating data-driven reports on coding trends, providing on-site education, and collaborating with market provider-facing roles. Travel up to 5% may be required. #J-18808-Ljbffr

Humana Inc. in the United States seeks a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and create an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities include arranging educational sessions, analyzing coding quality trends, preparing reports with data visuals, and delivering on-site education while collaborating with market provider-facing teams. Remote with light travel may apply. #J-18808-Ljbffr

4 days ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Colorado Community Managed Care Network provided pay range This range is provided by Colorado Community Managed Care Network. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $53,000.00/yr - $70,000.00/yr Direct message the job poster from Colorado Community Managed Care Network Director of Human Resources and Business Operations Description https://recruiting.paylocity.com/recruiting/jobs/All/3736f22c-4667-493c-828e-5131b681ff09/Colorado-Community-Managed-Care-Network. Applicants will must apply through this link to be considered. Responsibilities: The Value Based Coding Advisor will interact with operational and clinical leadership to assist in the identification of Risk Adjustment/HCC coding opportunities, and will provide targeted education to CHC providers, billers, coders, and support staff to support...

Specialty Physician Coder Fully remote role - Must reside in CA - CPC, CCS, or equivalent certification required. Specialty coding certification is highly desired. Role Requirements: Surgical breast oncology (including plastic reconstructive breast surgery), Hematology/Oncology Must be able to abstract the chart review to capture all billable charges EPIC experience: charge entry and charge review experience required Strong Evaluation and Management (E/M) inpatient and outpatient coding experience Must reside in CA but can be remote Profee ONLY NOT HCC/risk adjustment, ASC, or facility coding Desire to convert to full-time employment Bonus/Nice to Have: GYNONC coding experience Experience working on denials GI (CGIC coding certification) or OBGYN (COBGC coding certification) coding experience (1 year or more) Job Description: Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in reviewing and analyzing specialty...

Specialty Physician Coder Fully remote role - Must reside in CA - CPC, CCS, or equivalent certification required. Specialty coding certification is highly desired. Role Requirements: Surgical breast oncology (including plastic reconstructive breast surgery), Hematology/Oncology Must be able to abstract the chart review to capture all billable charges EPIC experience: charge entry and charge review experience required Strong Evaluation and Management (E/M) inpatient and outpatient coding experience Must reside in CA but can be remote Profee ONLY – NOT HCC/risk adjustment, ASC, or facility coding Desire to convert to full-time employment Bonus/Nice to Have: GYNONC coding experience Experience working on denials GI (CGIC coding certification) or OBGYN (COBGC coding certification) coding experience (1 year or more) Job Description: Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in reviewing and...

Fully Remote role - Must reside in CA - CPC, CCS, or equivalent certification required. Specialty coding certification is highly desired. **ROLE REQUIREMENTS** Surgical breast oncology (including plastic reconstructive breast surgery), Hematology/Oncology Must be able to abstract the chart review to capture all billable charges EPIC experience: charge entry and charge review experience required Strong Evaluation and Management (E/M) inpatient and outpatient coding experience Must reside in CA but can be remote Profee ONLY - NOT HCC/risk adjustment, ASC, or facility coding Desire to convert to full-time employment **Bonus/nice to have** Bonus: GYNONC coding experience Bonus: Experience working on denials Bonus: GI (CGIC coding certification) or OBGYN (COBGC coding certification) coding experience (1 year or more) Job Description: Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in...

The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This is a hybrid role. Training is onsite Full Time, then Hybrid once trained. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines Proficient in Microsoft Office...

Department / Unit :Health Information ManagementWork Shift :Day (United States of America)Salary Range :$60,367.47 - $90,551.20This position is Fully RemoteProfessional Coding Auditor will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding / charging / denials follow-up.Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes.Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines.Provide education, instruction and training to providers and coding staff.Act as an expert for the HCC / Risk adjustment coding.This position is remote but does require onsite education to providers as needed.Essential Duties and ResponsibilitiesReview, analyze, and validate CPT and ICD-10 diagnosis codes and...