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

With two hospitals, eight outpatient locations and a highly-trained team of physicians practicing 28 specialties, Marshall Medical is a confident, convenient choice for local healthcare. Named by the Joint Commission as a “Top Quality Performer” among America’s hospitals, Marshall Medical Centers’ patients can be assured they are being treated in an environment where a premium is placed on quality and best practices.

Overview:
<table style="margin-left:0.9pt;border-collapse:collapse;border:none"><tbody><tr><td style="width:508.2pt;border:solid 1pt;padding:0in 5.4pt 0in 5.4pt">The following statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements, which may be inherent in the position. Position Summary:  The Eligibility Program Manager will serve as the on-site liaison between Marshall Medical Centers and our third party insurance eligibility vendor.  This role is responsible for ensuring timely, accurate verification of patient insurance benefits and for building the internal processes and accountability structures needed to keep eligibility operations running smoothly. The manager will own the day-to-day vendor relationship, drive performance standards, and partner with registration, billing, and clinical teams to reduce denials and improve the patient financial experience.  They must maintain compliance with current guidelines and all federal, state, and local laws pertaining to these programs.  Primary Responsibilities:·        Serve as the single point of contact for the third-party eligibility vendor. Conduct regular performance reviews, escalate systemic issues, negotiate process improvements, and ensure contractual service levels are met.·        Design, document, and maintain eligibility verification workflows across all access points (inpatient, outpatient, ED, and scheduled services). Identify gaps, eliminate redundancies, and build repeatable processes that reduce manual intervention.·        Track eligibility verification rates, turnaround times, error rates, and denial trends. Present performance metrics to leadership and recommend corrective actions when benchmarks are not met.·        Partner with patient access, health information management, coding, and billing teams to resolve eligibility-related denials and payer discrepancies. Serve as a subject matter expert in eligibility and benefits interpretation.·        Train registration and access staff on eligibility tools, payer requirements, and exception handling. Develop reference materials and serve as a resource for escalated cases.·        Stay current on payer policy changes, CMS regulations, and state Medicaid requirements. Ensure eligibility processes remain compliant and reflect current coverage rules. </td></tr></tbody></table>

Qualifications:
<table style="margin-left:0.9pt;border-collapse:collapse;border:none"><tbody><tr><td style="width:508.5pt;border:solid 1pt;padding:0in 5.4pt 0in 5.4pt">  This position requires, at minimum, a high school diploma or GED. Bachelor’s degree in healthcare administration, business administration, or a related field is preferred.  Prior experience in the healthcare environment and/or customer service is preferred. This position requires certification through Medicaid as an Application Assister and to award HPE.  A working knowledge of computers and systems to include Microsoft Word, Excel, and Outlook are necessary.  This position requires the ability to communicate in a pleasant, professional, concise, and caring manner. It also requires critical thinking and problem solving to ensure the best care possible for our patients.  Bi-lingual is preferred.   </td></tr></tbody></table>

About Us:
Lake Guntersville, a mountain-lakes jewel, is located approximately 30 miles from metro Huntsville – and is home to Marshall Medical Centers. Marshall Medical Centers, an affiliate of the Huntsville Hospital Health System, serves the residents of Marshall County and the surrounding area (population approximately 125,000). With two hospitals, eight outpatient locations and a highly-trained team of physicians practicing 28 specialties, Marshall Medical is a confident, convenient choice for local healthcare. Residents can remain close to home and receive excellent care – often provided by those who are neighbors and friends. Marshall Medical Center South is a 150-bed hospital in Boaz, Alabama, and opened in 1956. Marshall Medical Center North, in Guntersville, opened in 1990 – and – is a 90-bed facility. In addition to the two hospitals, the Gary R. Gore Medical Complex is conveniently located mid-county and is home to several outpatient clinics and a 22,000 square foot comprehensive Cancer Care Center. Named by the Joint Commission as a “Top Quality Performer” among America’s hospitals, Marshall Medical Centers’ patients can be assured they are being treated in an environment where a premium is placed on quality and best practices.

Huntsville Hospital Health System

Mgr Eligibility Program, Marshall Medical Centers, Full time, 1st Shift

Benchmarking

Best Practices

Billing

Business Administration

Centers for Medicare and Medicaid Services (CMS)

Communication Skills

Corrective Action

Customer Escalations

Design Document

Error Handling

Federal Laws and Regulations

Health Information Management

Healthcare

Healthcare Administration

Healthcare Customer Service

High School Diploma

Hospital

Hospital Systems

Leadership

Maintain Compliance

Medicaid

Medical Coding

Microsoft Excel

Microsoft Outlook

Microsoft Word

Negotiation Skills

Outpatient Care

Patient Care

Patient Care Denials

Performance Metrics

Performance Reviews

Problem Solving Skills

Process Improvement

Project/Program Management

State Laws and Regulations

The Joint Commission (TJC)

Third-Party Payer

Time Management

Top Sales Rep

Vendor/Supplier Relations

[AW]-iCims

Today, DeKalb Regional is 134-beds and offers comprehensive services including cardiac catheterization, geriatric psychiatric services, women’s and children’s services, bariatric services, orthopedics services, and many more. Experience: Documented experience with coding, abstracting, medical record processing, chart completion, word processing, and spreadsheet software products.

Overview:
Responsible for the overall planning, organizing, directing, coordinating and evaluating of the Medical Records Department. Prepares the annual budget. Ensures quality of data processed and compliance with all regulatory standards. Serves as a liaison between Medical Records operations and other medical and administrative staff and outside agencies as necessary.

Qualifications:
Education required: Completion of an AHIMA accredited program in Medical Records Management. Associates degree.  Education preferred: Bachelors degree License, Certification and/or Registration: ART, RRA Experience: Documented experience with coding, abstracting, medical record processing, chart completion, word processing, and spreadsheet software products. Demonstrated leadership abilities; minimum 3 years management experience in a hospital setting.

About Us:
DeKalb Regional Medical Center celebrated its 35th anniversary in October 2021. Throughout its history, the team of healthcare providers here have been proud to serve the people of Fort Payne, Alabama.Today, DeKalb Regional is 134-beds and offers comprehensive services including cardiac catheterization, geriatric psychiatric services, women’s and children’s services, bariatric services, orthopedics services, and many more. DeKalb Regional and its physicians serve patients from throughout Northeast Alabama and Western Georgia. DeKalb Regional is committed to providing quality care close to home. The hospital is accredited by The Joint Commission and the American College of Cardiology as a Primary Stroke Center and Chest Pain Center. It was also awarded the 2023 Get with the Guidelines Rural Stroke Bronze Quality Award from the American Heart Association. In fall of 2023, DeKalb Regional was one of seven hospitals in Alabama to receive an “A” grade from The Leapfrog Group. DeKalb Regional Medical Center has 500 employees and more than 100 members of the medical staff.

Dir Health Information Mgmt - DeKalb Medical Records -

Budgeting

Cardiology

Cerebral Vascular Accident

Data Quality

Healthcare Providers

Medical Records

Records Management

Regulatory Compliance

Spreadsheets

Word Processing

Overview: Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more. We provide services to clinically excellent community hospitals across the country that are dedicated to ensuring quality, compassionate care for every patient, every time.

Overview:
Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more. We provide services to clinically excellent community hospitals across the country that are dedicated to ensuring quality, compassionate care for every patient, every time. 

Responsibilities:
The Distribution Technician counts and replenishes all par supply areas. Uses the computer system to perform distribution activities. Receives supplies and equipment. Maintains storeroom, delivers supplies to departments.

Qualifications:
EDUCATION, EXPERIENCE, TRAINING 1. High School Graduate or Equivalent Experience. 2. Previous experience in Materials Management preferred. 3. Basic computer skills. 4. Knowledge of supply automation system preferred  

Employment Status:
Full Time

Shift:
Days

Equal Employment Opportunity:
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: <a href="https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf" rel="noopener nofollow noreferrer" target="_blank">https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf</a>

PHS Bio-Medical Services

Distribution Tech -

Automation Systems

Community and Social Services

Computer Skills

Computer Systems

Equipment Maintenance/Repair

Internet Security

Materials Management

Operational Support

Professional Services

Purchasing/Procurement

Supply Chain

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Coding EducatorHumana

Mgr Eligibility Program, Marshall Medical Centers, Full time, 1st ShiftHuntsville Hospital Health System

Dir Health Information Mgmt - DeKalb Medical Records -Huntsville Hospital Health System

Distribution Tech -PHS Bio-Medical Services

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