UNKNOWN

ADAPTED_NOW

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

YEAR

Become a part of our caring community and help us put health first The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. The Coding Educator 2 will be responsible for arranging 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 + Utilize 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 workflow processes Use your skills to make an impact Required Qualifications + AHIMA or AAPC CPC (Certified Professional Coder) Certification + 3 or more years of medical coding education and/or auditing in a healthcare setting experience + Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets + Experience with speaking with leadership, webinars public speaking and/or presentation skills with healthcare providers + Risk Adjustment knowledge + Familiar with coding guidelines + Live in South Carolina, North Carolina or Georgia Preferred Qualifications + Bachelor's Degree + CRC -Certified Risk Adjustment Coder + Experience interacting with healthcare providers + Strong technical knowledge of all Microsoft Office applications + Strong attention to detail and exceptional follow up skills + Valid Driver's license and reliable transportation + Medicare Risk Adjustment knowledge Additional Information Work at home - with ability to travel (up to 5%) to surrounding provider offices As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. Work at Home Guidance To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular and microwave connection can be used only if approved by leadership + Associates 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 associates 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 Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/vivaengage and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker. #LI-BB1 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. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. ​ 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. 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 https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Humana

Coding Educator

OTHER

FEED

We are a nonprofit system of Federally Qualified Health Centers (FQHCs) that works closely with communities to meet the ever-changing medical and behavioral healthcare needs of individuals throughout WNC. About Blue Ridge Health: At Blue Ridge Health our mission is to improve Health, inspire Hope, and advance Healing through access to Compassionate, Affordable, and Quality Care.

Overview:
Blue Ridge Health is currently seeking a Biller to be part of our Patient Financial Services team in Hendersonville, NC.

What We Offer You::
<ul><li>A competitive benefits plan, including Medical, Dental and Vision</li><li>Company sponsored life insurance and short and long-term disability coverage</li><li>403(b) retirement account with company matching</li><li>Supplemental accident insurance available</li><li>9 paid holidays per year</li><li>PTO and Personal Day accrual, starting day 1 - (We value a work-life balance!)</li></ul>

What You'll Do::
The Biller will perform all duties necessary to file claims from across the company, monitor those claims, and collect on the claims with the appropriate insurer or party. Responsibilities include:<ul><li>Bill claims with the appropriate insurer.</li><li>Monitor and correct unpaid claims.</li><li>Post insurer payments in the E.H.R system.</li><li>Post electronic payments for various Blue Ridge Health departments.</li><li>Support other PFS areas and functions as needed.</li></ul>

What We're Looking For::
<ul><li>Familiarity with Medical Terminology and ICD-10 coding.</li><li>CPC certification strongly preferred.</li><li>Bilingual in English and Spanish strongly preferred.</li><li>High School Diploma or equivalent required</li><li>At least 5 years’ experience in medical billing required</li><li>Familiarity with utilizing Microsoft office products (i.e. word, excel)</li><li>Familiarity with utilizing multi-line phone systems, copier, scanner, fax and other office equipment.</li></ul>

About Blue Ridge Health::
At Blue Ridge Health our mission is to improve Health, inspire Hope, and advance Healing through access to Compassionate, Affordable, and Quality Care. We are seeking individuals with a passion for creating an exceptional patient and client care experience to join our team! We are a nonprofit system of Federally Qualified Health Centers (FQHCs) that works closely with communities to meet the ever-changing medical and behavioral healthcare needs of individuals throughout WNC. We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Blue Ridge Health

Biller

Behavioral Health

Billing

Certified Professional Coder (CPC)

Compensation and Benefits

Copying Machines

Customer Support/Service

Document Scanners

English Language

Fax Machines

ICD-10

Insurance

Medical Billing

Medical Coding

Medical Terminology

Microsoft Excel

Microsoft Office

Microsoft Product Family

Microsoft Word

Multilingual

Nonprofit

Office Equipment

Patient Care

Spanish Language

Telephone Skills

[AW]-iCims

What You'll Do: The Billing Specialist will provide essential support to clinics throughout our organization, ensuring claims for patient services are filed timely and accurately with the appropriate insurer or party. We are a nonprofit system of Federally Qualified Health Centers (FQHCs) that works closely with communities to meet the ever-changing medical and behavioral healthcare needs of individuals throughout WNC.

Overview:
Blue Ridge Health is currently seeking a Billing Specialist to be part of our administrative team in Hendersonville, NC.

What We Offer You::
<ul><li>A competitive benefits plan, including Medical, Dental and Vision</li><li>Company sponsored life insurance and short and long-term disability coverage</li><li>403(b) retirement account with company matching</li><li>Supplemental accident insurance available</li><li>9 paid holidays per year</li><li>PTO and Personal Day accrual, starting day 1 - (We value a work-life balance!)</li></ul>

What You'll Do::
The Billing Specialist will provide essential support to clinics throughout our organization, ensuring claims for patient services are filed timely and accurately with the appropriate insurer or party. Responsibilities include:<ul><li>Regional travel required in the BRH multi-county service area.</li><li>Act as a billing resource </li><li>Preparing and submitting clean claims to various insurance payers</li><li>Claim error resolution; initiate communication needed to resolve claim issues, monitor until issues are resolved, escalating as needed </li><li>Track rejections and recommend improvements for billing</li></ul>

What We're Looking For::
<ul><li>High School Diploma or equivalent</li><li>Proficiency with Microsoft Office products</li><li>Outstanding written and verbal communication</li><li>Knowledge of insurance payer requirements</li><li>Basic knowledge of CPT and ICD-10 codes</li><li>Medical billing: 1 year, preferred</li><li>Electronic Health Records and Practice Management Systems experience, preferred</li></ul>

About Blue Ridge Health::
At Blue Ridge Health our mission is to improve Health, inspire Hope, and advance Healing through access to Compassionate, Affordable, and Quality Care. We are seeking individuals with a passion for creating an exceptional patient and client care experience to join our team! We are a nonprofit system of Federally Qualified Health Centers (FQHCs) that works closely with communities to meet the ever-changing medical and behavioral healthcare needs of individuals throughout WNC. We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Billing Specialist

Clinical Support

Current Procedural Terminology (CPT)

High School Diploma

Insurance Claims

Medical Record System

Presentation/Verbal Skills

Problem Solving Skills

Records Management

Time Management

Willing to Travel

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Coding EducatorHumana

BillerBlue Ridge Health

Billing SpecialistBlue Ridge Health

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