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

Completes various tasks related to our Revenue Cycle Management service, including: general data entry into web-based software/applications, medical claim generation and submission, insurance and patient payment processing, report creation and analysis. We embrace and encourage our employees' differences in age, color, disability, ethnicity, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socioeconomic status, veteran status, and any other characteristics protected by federal, state, and local laws that make our employees unique.

IN SUMMARY...The Patient Relations Specialist is essential to the RCM department, facilitating seamless communication between patients and the healthcare facility while managing both financial and customer service concerns. Their role ensures a positive patient experience while supporting the efficient flow of revenue cycle operations. WHAT YOU WILL DO...<ul><li>Responsible for delivery of excellent customer service to the patients of Azalea RCM Clients.</li><li>Explains insurance processing and the revenue cycle of claims to patients to help them better understand any outstanding patient responsibility amounts due to Azalea RCM Clients</li><li>Responsible for all inbound RCM-related patient telephone coverage during regular business hours with quick turnaround time responses for voice messages left after hours</li><li>Thoroughly verifies identity of persons calling requesting information, maintaining HIPAA compliance and only giving information to those individuals with proper access</li><li>Manages patient statement processing and bad debt collections processes for assigned accounts as directed by RCM Account Coordinators.</li><li>Preparing and submitting documentation (ledgers, patient statements, medical records) on behalf of Azalea RCM Client's patients as requested from approved parties</li><li>Completes various tasks related to our Revenue Cycle Management service, including: general data entry into web-based software/applications, medical claim generation and submission, insurance and patient payment processing, report creation and analysis</li><li>Responsible for other administrative duties including not limited to: inbound/outbound mail processing, filing, answering phones, faxing, copying, scanning, etc.</li><li>Demonstrates a good working knowledge of CPT, ICD10, and HCPCS codes as well as remaining current on regulatory coding changes.</li><li>Maintains HIPAA compliance when handling patient protected health information (PHI)</li><li>Responsible for other Revenue Cycle Management-related duties, as assigned.</li></ul>BACKGROUND AND SKILLS YOU WILL BRING...<ul><li>Strong oral and written communication skills</li><li>Excellent computer and internet skills/instincts</li><li>Excellent customer service skills</li><li>Strong attention to detail</li><li>Self-motivated and well-organized</li><li>Interest and/or experience in healthcare administration is a plus</li></ul>SUCCESS LOOKS LIKE...<ul><li>Being aggressive and taking initiative; we trust you to move the needle forward</li><li>Doing the job; outcomes are just as important as strategy</li><li>Being adaptable and amenable to meet the changes of a dynamic and evolving industry</li><li>Demonstrating humility; partnership and collaboration is who we are and how we operate</li><li>Tapping into your innovative side; conventional is not always correct</li></ul>HOW WE INVEST IN YOU...<ul><li>Competitive and comprehensive benefits: Coverage options to support the whole person, including full medical, dental, vision, and life insurance<ul><li>Generous employer sponsored subsidy towards employee's medical insurance premiums</li><li>Azalea Health covers 100% of the premiums for Life AD&D and Long-Term Disability for all eligible full-time employees</li></ul></li><li>Balance and flexibility: Simple Paid Time Off (PTO) options. You earn your time, use it as you choose.</li><li>Economic opportunity: Competitive total rewards package that offers competitive pay and advancement opportunities</li></ul> Azalea Health's EEO StatementAzalea Health is an Equal Opportunity Employer committed to creating a diverse and inclusive workforce where our employees excel based on merit, qualifications, knowledge, ability, and job performance. We embrace and encourage our employees' differences in age, color, disability, ethnicity, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socioeconomic status, veteran status, and any other characteristics protected by federal, state, and local laws that make our employees unique.

Azalea Health Innovations Inc

Patient Relations Specialist

Administrative Skills

Analysis Skills

Communication Skills

Credit and Collections

Current Procedural Terminology (CPT)

Customer Support/Service

Data Entry

Detail Oriented

Documentation

Facilities Management

Financial Management

Financial Services

HIPAA (Health Insurance Portability and Accountability Act)

Healthcare

Healthcare Administration

Healthcare Common Procedure Coding System (HCPCS)

ICD-10

Information/Data Security (InfoSec)

Insurance

Internet Application

Internet Technology

Mail Processing

Maintain Compliance

Medical Records

Organizational Skills

Past Due Accounts

Payment Processing

Photocopy

Presentation/Verbal Skills

Regulations

Revenue Management

Telephone Skills

Writing Skills

Talent Acquisition

To assist with proper maintenance of Durable Medical Equipment supplies/orders and assist with Casting and W/C Pharmacy as necessary with patient care activities. •Valid Driver’s License, satisfactory motor vehicle report (MVR) and proof of insurance required for position on-boarding.

Position GoalTo assist with proper maintenance of Durable Medical Equipment supplies/orders and assist with Casting and W/C Pharmacy as necessary with patient care activities. Preform all patient care activities for cast and post-op care.Position Responsibilities:<ul><li>Escort patients as necessary from the waiting area to the cast room and/or DME area for analysis of needs.</li><li>Remove and apply casts, both fiberglass, plaster and other appliances as needed</li><li>Assist in fracture reductions and minor surgical procedures as well as remove sutures, staples, and apply bandages.</li><li>Clean and sterilize instruments and equipment.</li><li>Stock and maintain workspaces.</li><li>Assist with supply, DME ordering, inventory activities, receiving etc. and in always maintaining appropriate inventory levels.</li><li>Deliver DME products to area hospitals as needed.</li><li>Obtain authorization for custom braces and all DME prescribed for worker's compensation patients.</li><li>Review DME receipts to ensure billing of items daily.</li><li>Responsible for patient care activities such as determining proper DME sizing and fitting items when needed.</li><li>Work DME hold buckets in workflow dashboard in Athena throughout the day.</li><li>Ensure DME orders and procedure documentation is complete prior to issuing DME.</li><li>Assist in properly and accurately dispensing pre-packed medications to patients as directed by Physician.</li><li>Triage cast patients with problems in absence of physician if necessary.</li><li>Provide back-up support in performing Medical Assistant duties when necessary (if applicable).</li></ul>Experience:Required:<ul><li>One (1) year Orthopaedic healthcare experience.</li></ul>Preferred:<ul><li>One (1) year of Ortho Tech or two (2) years casting experience.</li></ul>Education:Required:<ul><li>High School Diploma or equivalent.</li><li>Certified DME/Cast Technician </li></ul>Preferred:<ul><li>Completion of an accredited Orthopaedic specialist training program.</li></ul>Special Qualifications:Required: 
•Valid Driver’s License, satisfactory motor vehicle report (MVR) and proof of insurance required for position on-boarding. 
•Annual MVR may be required per policy and procedure; background reports may be ran as needed throughout the course of employment. 
•Basic Life Support (BLS) Certification (American Heart Association or American Red Cross). 
•Must have the ability to work independently. 
•Must have a working knowledge of HIPAA requirements. 
•Must have knowledge of fracture care coding along with CPT and ICD-10 codes. 
•Must possess excellent computer skills.All applicants must apply at <a href="http://www.hughston.com/" rel="nofollow">www.hughston.com</a> to be consideredThe Hughston Clinic, The Hughston Foundation, The Hughston Surgical Center, Hughston Clinic Orthopaedics, Hughston Medical, Hughston Orthopaedics Trauma, Hughston Orthopaedics Southeast and Jack Hughston Memorial Hospital participate in E-Verify. This company is an equal opportunity employer that recruits and hires qualified candidates without regard to race, religion, color, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or veteran status

Hughston Clinic

Certified DME/Cast Technician - Full Time

Basic Life Support (BLS)

Billing

Casting

Computer Skills

Driver's License

Durable Medical Equipment

Equipment Maintenance/Repair

High School Diploma

Hospital

Inventory Levels

Inventory Management

Medical Assistance

Medical Billing

Medical Office Administration

Medical Products

Medications

Onboarding

Order Supplies

Orthopedics

Patient Assessment

Patient Care

Pharmacy

Reporting Dashboards

Shipping/Receiving

Sterilization

Surgical Nursing

Surgical Procedures

Training Program

Worker's Compensation

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Coding EducatorHumana

Patient Relations SpecialistAzalea Health Innovations Inc

Certified DME/Cast Technician - Full TimeHughston Clinic

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