San Juan, PR, 00918, USA
1 day ago
Coding Educator
**Become a part of our caring community and help us put health first** 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. The Coding Educator plays a key role in enhancing the quality and accuracy of coding practices within the PCO coding organization. This position identifies educational needs based on internal processes, initiatives, and external regulatory changes (e.g., CMS updates, code set revisions), and delivers timely, relevant, and compliant training. **Job Description (Key Responsibilities):** + Assess ongoing educational needs across the coding department. + Design and deliver targeted training sessions to improve coding accuracy and compliance. + Review medical records and collaborate with providers and coders to enhance documentation and coding quality. + Interpret and apply ICD-10, CPT/HCPCS, and CMS guidelines. + Support process improvement initiatives aligned with organizational goals. + Collaborate with regional educators to ensure consistent and accurate educational content. + Adapt training methods to suit various learning styles and environments. + Provide constructive feedback and support to learners throughout their development. **Data Analysis & Curriculum Development:** + Collect, synthesize, and analyze education and training data to assess effectiveness and identify trends or gaps. + Use data-driven insights to make informed recommendations for curriculum updates and enhancements. + Monitor learner performance and training outcomes to continuously improve educational strategies. + Develop metrics and reporting tools to evaluate the impact of training programs on coding quality and compliance. ****PLEASE MAKE SURE YOU ATTACH A RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT)**** **Use your skills to make an impact** **Required Qualifications** + AAPC or AHIMA coding certification. + A minimum of three years in primary care and risk adjustment coding. + A minimum of three assigning ICD-10 and outpatient procedure codes (CPT/HCPCS). + Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint). + Familiarity with coding software and platforms. + Strong grasp of ICD-10 and CPT coding guidelines. + Experience in medical record review and documentation improvement. + Ability to clearly explain complex coding concepts both verbally and in writing. + Strong interpersonal skills to foster a positive learning environment. + Experience in teaching, mentoring, or training coders. + Ability to assess learner progress and adjust training accordingly. + Comfortable navigating change and shifting priorities. + Self-directed with strong organizational and time management skills. **Preferred Qualifications** + Bachelor's Degree **Additional Information** + Hours: 8-5 / M-F (CST or ET) + This position may require up to 20% travel **Work at Home Statement** To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if approved by leadership. + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $59,300 - $80,900 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 08-29-2025 **About us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. ​ **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources
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