463 Coding Educator jobs in the United States

Job Description

Job Description

Description:

Provide high-quality instruction to students and work collaboratively with the school leader, colleagues, students, parents and the board to accomplish or surpass the academy's articulated educational goals. Work as a collaborative team member to implement the academy curriculum and accomplish short- and long-term academic goals.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

• Create a classroom environment that is conducive to learning; develop reasonable rules of classroom behavior and procedure; enforce the academy's student discipline code; collaborate in the implementation of initiatives such as school-wide behavior management systems.
• Plan a program of study that meets the individual needs and goals of students; establish clear objectives for all lessons and units; ensure that lessons -- as planned, delivered, and assessed -- are aligned with state curriculum and school-wide curriculum standards.
• Develop lesson plans and submit them for review and feedback as scheduled; work cooperatively with the academy's instructional coach to learn from feedback and improve the quality of instruction. Participate in ongoing analysis and
• planning to ensure that the school's curriculum remains aligned to state standards.
• Collaborate with special education staff to implement, to the greatest extent possible, an inclusive approach to students with special needs. Remain aware of student needs; participate in child study teams or individualized education planning; implement accommodations and modifications as indicated in student IEP's; seek advice and counsel from student support services areas when needed to ensure that all students are fully served.
• Collaborate with other staff, as necessary, to implement grant-funded programming to accelerate learning for students with a variety of needs including special education, at-risk, limited English proficient students and others, to bring them to grade level proficiency.
• Maintain accurate and complete records as required; maintain the confidentiality of student records and student information. Complete any documentation necessary for the academy to be in compliance with regulatory requirements, such as time and effort reporting.
• Communicate with parents and make provisions for being available outside normal hours; work with parents to encourage participation in their child’s learning experiences; provide regular communication to parents regarding their children’s performance.
• Maintain professional competence via conferences, mentoring, involvement in professional organizations, continuing coursework, etc. Complete all coursework and other requirements necessary to maintain teaching credentials and "highly qualified" status, as required by the teacher's assignment.
• Inform the school leader of needed instructional resources. Serve as an active member of teams such as grade-level, school-wide planning, school improvement or other areas of focus.
• May participate in extracurricular activities such as coaching, clubs, student government, tutoring, enrichment activities, etc.
• Other duties as assigned.

Requirements:

• State teacher licensure/certification with appropriate endorsements(s).
• Bachelor’s degree with subject area emphasis and/or coursework and/or experience necessary to be deemed "highly qualified" for the grade/subjects to be taught. (Will consider non-certified applicants with a degree in the subject area to be taught; would be required to complete a plan of action to become "highly qualified" within a prescribed period of time.)
• Demonstrated commitment to young people’s learning success and achievement.
• Demonstrated proficiency in a teaching/tutoring capacity as acquired through prior experience in tutoring, teaching or other education-related experience; evidence of successful experience in student and parent relations.

Coding Educator

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is to always do what is best for our clients, patients, and each other. With our proven and scalable operating model, we complement a healthcare organization's infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.

Our Coding Educator will be responsible for developing and facilitating the coding education program for Inpatient and Outpatient Coders. This person will administer training plans on an individual and group basis, work with quality assurance and compliance teams to determine training needed, maintain and monitor training plans for the staff, and keep training material updated, relevant, and engaging. In this role, the successful candidate will be educating new and existing coders ensuring compliant coding. Training and education to include ICD, CPT, HCPCS, IPPS, OPPS, APC, DRG, and other relevant state and federal laws and regulations. This person will promote correct coding guidelines and coding initiatives to ensure standardization throughout the organization. This position will report to the Manager of Education and Training.

Here is what you can expect as our Coding Educator:

• Administer, implement, and update the overall coding (Inpatient and Outpatient) education program for coding associates.
• Actively works with the Vice President of Coding Education, Quality & Audit Coordination, Director of Coding Education and Audit Coordination, Director of Coding Quality Management (and/or other members of those teams) to identify areas where focused education may be needed for all production coders and subsequently develops the curriculum and plan for educating all coders.
• Administers curriculum for coders to acquire the knowledge and skills necessary for competency.
• Administers curriculum for newly hired coders to ensure proficiency and quality meets company standards.
• Provides "real world" coding experience for all coders prior to releasing any coder for production work.
• Tracks and manages CEU and credentialing of all R1 coding associates.
• Maintains knowledge of all current coding regulatory guidelines and governmental updates and communicates those changes to current staff and leadership to support appropriate, compliant coding.
• Maintains training collateral across multiple multimedia forums so that information is organized, highly presentable, and updated.
• Provides constructive review and feedback to assist in the development of instructional materials to include course plans, objectives, and evaluation tools.

Required Qualifications:

• Minimum of two years of experience in auditing or higher-level coding leadership/management a MUST.
• Minimum of four years of experience in production coding.
• CCS and either RHIA or RHIT (CPC may be considered).
• Ability to interact with other employees through effective communication.
• Excellent communication skills and ability to deliver and teach complex coding concepts to large groups of coders.
• Strong problem solving skills.

Desired Qualifications:

• AHIMA Approved ICD-10 Trainer.
• Associate or Bachelor's degree from an accredited university or college.
• Previous teaching experience.

For this US-based position, the base pay range is $27.31 - $39.35 per hour. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

The healthcare system is always evolving and it's up to us to use our shared expertise to find new solutions that can keep up. On our growing team you'll find the opportunity to constantly learn, collaborate across groups, and explore new paths for your career. Our associates are given the chance to contribute, think boldly, and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team including offering a competitive benefits package.

R1 RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The Company's employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state, or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

Coding Educator 2

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.

Responsibilities include:

• Identify educational needs based on reports
• Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques.
• Provide onsite education, based on business needs
• Collaborate with other market provider facing roles
• 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

Scheduled Weekly Hours: 40

Pay Range: $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.

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.

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.

Summary

The coding educator supports the company's coding training and development objectives through assessment, mentoring, education, auditing, and coaching. Responsible for the coordination and execution of coding educational programs and works with operation leaders, preceptors, and the entire coding team to identify and meet training needs, evaluate training effectiveness, promote coding excellence, and provide training opportunities that contribute to coding accuracy and overall understanding of coding guidelines.

**Must be HCS-D certified.**

Responsibilities

• Works in collaboration with coding management team and operational leaders to identify training needs,
• Develop training plans specifically designed to meet identified needs, and ensures understanding and application of relevant training.
• Delivers appropriate training to employees using a variety of instructional techniques through a complete understanding of training courses, content, material, and delivery method options available.
• Assists in the evaluation of training and development programs for effectiveness and provides suggestions and ideas for improving the effectiveness.
• Assesses learner achievements and reports on key indicators designed to measure knowledge transfer and successful application of learning.
• Maintains current of knowledge of ICD-10 and Conditions of Participation.
• Ensures all educational resources are kept updated
• Establishes and maintains positive working relationships with agency management and coding team.
• Assists in building and/or enhancing the educational resources for coding team, operation leaders, and clinicians.
• Harvest intellectual capital and best practices from assigned areas.
• Performs other duties as assigned/directed.

Education and Experience

* Minimum of 5 years Home Health coding experience, 2 of which are dedicated to coding data review, analysis, and employee development in the application of coding guidelines.
* Prefer minimum of 2 years supervisory or leadership experience to aid in communications across departments.

License Requirements

• Coding Certification (HCS-D) required

Skill Requirements
* Must possess the ability to analyze coding data at a high level, and to accurately interpret and apply current coding guidelines, Conditions of Participation, and PDGM guidelines to find opportunities for training and development.
* Must possess strong oral and written communication
* Must possess strong computer skills with proven ability to use MS Office applications, and clinical documentation software as well as reports available in these programs.
* Understanding of Adult Learning with demonstrable ability to efficiently plan and coordinate training
* Ability to organize workload to provide reliable follow-through and meet timelines/deadlines.
* Demonstrable presentation and group facilitation
* Ability to interpret training needs and determine most appropriate training
* Ability to communicate and apply understanding of coding guidelines
* Ability to work independently

Company Overview LHC Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

At LHC Group we are proud to offer benefits that support your physical and emotional wellbeing. Review LHC Group's comprehensive benefits and perks: Group Inc Home Office a part of LHC Group family of providers - the preferred post-acute care partner for hospitals, physicians, and families nationwide. We deliver high-quality, cost-effective care that supports our patients when and where they need it. From our home health, hospice, and community-based services to inpatient care at our clinics and hospitals, our mission is to reach more patients and families with effective and efficient healthcare. More hospitals, physicians, and families choose LHC Group because we are united by a single shared purpose: It's all about helping people.

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 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

The Company

The Primary Care Organization (PCO), is looking for high potential candidates who are looking to accelerate their career development and contribute to driving disruption in the health care industry. The PCO provides primary care medical group practice with centers open or opening in Florida, Arizona, Georgia, Kansas, Louisiana, Missouri, Mississippi, Nevada, North Carolina, South Carolina, Kentucky, and Texas.

The PCO has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary care combined with an excellent patient experience.

At PCO we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.

The Role

As a C oding Educator you will identify opportunities to improve provider documentation and create a education plan tailored to each assigned provider.

Job Functions

• Satisfies training and development needs by researching, designing, and learning training programs.

• Presents training and development programs by identifying learning objectives, selecting instructional methodologies.

• Reinforces learning by selecting and utilizing training media.

• Evaluates training and development effectiveness by assessing application of learning to job performance, recommending future training and development programs.

• Counsel individual managers and employees by identifying learning requirements; designing an individual training or development program; coaching to improve performance.

• Prepares training and resource manuals by identifying purpose, assembling, and composing information.

• Maintains knowledge of instructional technologies by attending workshops; reviewing professional publications; establishing personal networks; participating in professional societies.

• Contributes to team effort by accomplishing related results as needed.

Benefits

We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k, tuition reimbursement, vacation, paid holidays, work-life balance, growth, a positive and fun culture and much more.

Vaccine Policy

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

PLEASE MAKE SURE YOU ATTACH A RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT)

Use your skills to make an impact

Required Qualifications

• A minimum of two years of medical coding experience

• AAPC or AHIMA Coding Certification

• Ability to guide business and leadership in process improvement

• Comprehensive knowledge of MS Word, Excel and PowerPoint

• Ability to problem solve complex issues

• Must be a motivated and able to work independently

• Must be able to communicate professionally and remain organized

• Medical record review knowledge

• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• Bachelor's Degree

Additional Information

• Hours: 8-5 / M-F (CST or ET)

• Remote Role

• Must be able to travel for in person training in markets (Florida , Virginia, Indiana, and/or Kentucky); majority of the training will take place virtually. <20% travel annually.

Work from 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

• 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

• Satellite and Wireless Internet service is NOT allowed for this role.

#LI-Remote

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

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

Position Summary

At Stony Brook Medicine, the Coding Education will develop and provide educational programs as they relate to ICD-10 CM and ICD-10 PCS coding for new and existing staff and collaborate with department management in setting goals related to educational activities for all coders.

Duties of a Coding Educator may include the following but are not limited to:

• Responsible for evaluating, designing, coordinating and delivering comprehensive training and education for new and existing staff.
• Development of ICD-10-CM and ICD-10 PCS education training for new employees.
• Assess and provide feedback to each coder on their work performed.
• Development of reinforcement training for existing staff in collaboration with department management.
• Provide educational sessions to new and existing staff based on results of each coders performance
• Perform coding audits and validation by reviewing medical records for correct ICD-10-CM and ICD-10 PCS coding. Compile and communicate results of the audits to the appropriate managers.
• Prepare training and presentations on various topics, such as the annual ICD-10 and ICD-10 PCS updates, any other coding updates throughout the year including Quarterly Coding Clinic reviews.
• Research updated coding information, rules, laws and statutes for all payers and government entities. Responsible to keep abreast of and hold extensive knowledge of government regulations related to coding and applicable reimbursement laws and regulations required.
• Ensure the Coding Staff has updated resources on an ongoing basis.
• Provide education to the Clinical Documentation Integrity (CDI) staff on a brief History of Coding.
• Provide education to the CDI staff on ICD-10 CM & ICD-10 PCS book contents, organization and how to use the books.
• Provide education to the CDI staff on how to identify Major Comorbidities and Chronic Comorbidities in ICD-10 CM books
• Provide education to the CDI staff on the Inpatient Prospective Payment System.
• Provide education to the CDI staff on the use of Official Coding guidelines by specific chapter.
• Provide education to the CDI staff on DRG Expert reviews. Identify surgical DRG's versus Medicine DRG's.
• Provide education to the CDI staff on the use of all coding software, such as, Access HIM, 3M CRS and References and PwC SMART software.
• Provide education to the CDI staff on coding guidance on an ongoing basis.
• Review and respond to coding questions.
• Work in collaboration with the Patient Financial Services Department on claim corrections.
• Special projects assignments related to coding.
• Code, abstract and data entry of records.

Qualifications

Required Qualifications: Bachelor's degree in Health Information Management (HIM) or related field. At least 6 years of experience with ICD-10 CM and ICD-10 PCS coding. RHIA,RHIT, and/or CCS certification. Demonstrated proficiency in medical terminology. Strong organizational and written communication skills.

Preferred Qualifications: Master's Degree or higher in Health Information Management or another Healthcare related Degree. 10 years or more experience with ICD-10 CM, ICD-10 PCS, CPT & HCPCS coding. Experience with education, training, compliance and auditing. RHIA, RHIT, CCS, CCS-P, or CPC certification.

Special Notes : Resume/CV should be included with the online application.

Posting Overview : This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).

If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.

• Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
• All Hospital positions maybe subject to changes in pass days and shifts as necessary.
• This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
• This function/position maybe designated as "essential." This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.

Prior to start date, the selected candidate must meet the following requirements:

• Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services*
• Complete electronic reference check with a minimum of three (3) professional references.
• Successfully complete a 4 panel drug screen*
• Meet Regulatory Requirements for pre employment screenings.
• Provide a copy of any required New York State license(s)/certificate(s).

Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.

*The hiring department will be responsible for any fee incurred for examination .

Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.

If you need a disability-related accommodation, please call the University Office of Equity and Access at .

In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed here .

Visit our WHY WORK HERE page to learn about the total rewards we offer.

Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally.

Anticipated Pay Range:

The salary range (or hiring range) for this position is $85,000 - $00,00 / year.

The above salary range represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting. The specific salary offer will be based on the candidate's validated years of comparable experience. Any efforts to inflate or misrepresent experience are grounds for disqualification from the application process or termination of employment if hired.

Some positions offer annual supplemental pay such as:

• Location pay for UUP, CSEA & PEF full-time positions ( 3400)

Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and a state pension that add to your bottom line.

**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 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. **The Company** The Primary Care Organization (PCO), is looking for high potential candidates who are looking to accelerate their career development and contribute to driving disruption in the health care industry. The PCO provides primary care medical group practice with centers open or opening in Florida, Arizona, Georgia, Kansas, Louisiana, Missouri, Mississippi, Nevada, North Carolina, South Carolina, Kentucky, and Texas. The PCO has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary care combined with an excellent patient experience. At PCO we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all. **The Role** As a **C** **oding Educator** you will identify opportunities to improve provider documentation and create a education plan tailored to each assigned provider. **Job Functions** + Satisfies training and development needs by researching, designing, and learning training programs. + Presents training and development programs by identifying learning objectives, selecting instructional methodologies. + Reinforces learning by selecting and utilizing training media. + Evaluates training and development effectiveness by assessing application of learning to job performance, recommending future training and development programs. + Counsel individual managers and employees by identifying learning requirements; designing an individual training or development program; coaching to improve performance. + Prepares training and resource manuals by identifying purpose, assembling, and composing information. + Maintains knowledge of instructional technologies by attending workshops; reviewing professional publications; establishing personal networks; participating in professional societies. + Contributes to team effort by accomplishing related results as needed. **Benefits** We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k, tuition reimbursement, vacation, paid holidays, work-life balance, growth, a positive and fun culture and much more. **Vaccine Policy** Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field. ***PLEASE MAKE SURE YOU ATTACH A RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT)*** **Use your skills to make an impact** **Required Qualifications** + A minimum of two years of medical coding experience + AAPC or AHIMA Coding Certification + Ability to guide business and leadership in process improvement + Comprehensive knowledge of MS Word, Excel and PowerPoint + Ability to problem solve complex issues + Must be a motivated and able to work independently + Must be able to communicate professionally and remain organized + Medical record review knowledge + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** + Bachelor's Degree **Additional Information** + Hours: 8-5 / M-F (CST or ET) + Remote Role + Must be able to travel for in person training in markets (Florida , Virginia, Indiana, and/or Kentucky); majority of the training will take place virtually. <20% travel annually. **Work from 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 + 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 + Satellite and Wireless Internet service is NOT allowed for this role. #LI-Remote 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** 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

Coding Educator
**Position Summary**
At Stony Brook Medicine, the Coding Education will develop and provide educational programs as they relate to ICD-10 CM and ICD-10 PCS coding for new and existing staff and collaborate with department management in setting goals related to educational activities for all coders.
**Duties of a Coding Educator** **may include the following but are not limited to:**
+ Responsible for evaluating, designing, coordinating and delivering comprehensive training and education for new and existing staff.
+ Development of ICD-10-CM and ICD-10 PCS education training for new employees.
+ Assess and provide feedback to each coder on their work performed.
+ Development of reinforcement training for existing staff in collaboration with department management.
+ Provide educational sessions to new and existing staff based on results of each coders performance
+ Perform coding audits and validation by reviewing medical records for correct ICD-10-CM and ICD-10 PCS coding. Compile and communicate results of the audits to the appropriate managers.
+ Prepare training and presentations on various topics, such as the annual ICD-10 and ICD-10 PCS updates, any other coding updates throughout the year including Quarterly Coding Clinic reviews.
+ Research updated coding information, rules, laws and statutes for all payers and government entities. Responsible to keep abreast of and hold extensive knowledge of government regulations related to coding and applicable reimbursement laws and regulations required.
+ Ensure the Coding Staff has updated resources on an ongoing basis.
+ Provide education to the Clinical Documentation Integrity (CDI) staff on a brief History of Coding.
+ Provide education to the CDI staff on ICD-10 CM & ICD-10 PCS book contents, organization and how to use the books.
+ Provide education to the CDI staff on how to identify Major Comorbidities and Chronic Comorbidities in ICD-10 CM books
+ Provide education to the CDI staff on the Inpatient Prospective Payment System.
+ Provide education to the CDI staff on the use of Official Coding guidelines by specific chapter.
+ Provide education to the CDI staff on DRG Expert reviews. Identify surgical DRG's versus Medicine DRG's.
+ Provide education to the CDI staff on the use of all coding software, such as, Access HIM, 3M CRS and References and PwC SMART software.
+ Provide education to the CDI staff on coding guidance on an ongoing basis.
+ Review and respond to coding questions.
+ Work in collaboration with the Patient Financial Services Department on claim corrections.
+ Special projects assignments related to coding.
+ Code, abstract and data entry of records.
**Qualifications**
**Required Qualifications:** Bachelor's degree in Health Information Management (HIM) or related field. At least 6 years of experience with ICD-10 CM and ICD-10 PCS coding. RHIA,RHIT, and/or CCS certification. Demonstrated proficiency in medical terminology. Strong organizational and written communication skills.
**_Preferred_** **_Qualifications:_** _Master's Degree or higher in Health Information Management or another Healthcare related Degree._ _10 years or more experience with ICD-10 CM, ICD-10 PCS, CPT & HCPCS coding._ _Experience with education, training, compliance and auditing._ _RHIA, RHIT, CCS, CCS-P, or CPC certification._
**Special Notes** **:** **Resume/CV should be included with the online application.**
**Posting Overview** **:** This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).
If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.
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+ Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
+ All Hospital positions maybe subject to changes in pass days and shifts as necessary.
+ This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
+ This function/position maybe designated as "essential." This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
**Prior to start date, the selected candidate must meet the following requirements:**
+ Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services
* + Complete electronic reference check with a minimum of three (3) professional references.
+ Successfully complete a 4 panel drug screen
* + Meet Regulatory Requirements for pre employment screenings.
+ Provide a copy of any required New York State license(s)/certificate(s).
**Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.**
***The hiring department will be responsible for any fee incurred for examination** .
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Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.
**If you need a disability-related accommodation, please call the University Office of Equity and Access at .**
**_In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed_** **_here_** **_._**
**Visit our** **WHY WORK HERE** **page to learn about the total rewards we offer.**
**Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally.**
**Anticipated Pay Range:**
The salary range (or hiring range) for this position is $85,000 - $00,00 / year.
The above salary range represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting. The specific salary offer will be based on the candidate's validated years of comparable experience. Any efforts to inflate or misrepresent experience are grounds for disqualification from the application process or termination of employment if hired.
Some positions offer annual supplemental pay such as:
+ Location pay for UUP, CSEA & PEF full-time positions ( 3400)
Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and a state pension that add to your bottom line.
**Job Number:**
**Official Job Title:** : TH Medical Records Senior Specialist
**Job Field** : Finance
**Primary Location** : US-NY-Commack
**Department/Hiring Area:** : Revenue Integrity
**Schedule** : Full-time
**Shift** : Day Shift **Shift Hours:** : 8:00 AM - 4:30 PM **Pass Days:** : Sat, Sun
**Posting Start Date** : Sep 11, 2025
**Posting End Date** : Oct 11, 2025, 10:59:00 PM
**Salary:** : 88,087 - 103,087 / Total
**Salary Grade:** : SL3
**SBU Area:** : Stony Brook University Hospital
**Req ID:**

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
**Primary Responsibilities:**
+ Creates comprehensive Fee-For-Service coding and billing training materials including and not limited to CPT/ICD-10-CM coding standards and related regulations and / or policies on an ongoing basis
+ Customizes training materials to meet myriad organizational objectives and maintain compliance with established coding / billing standards and policies
+ Conducts coding and billing training for providers (clinicians and practice staff), coders, quality assurance team, and other stakeholders
+ Creates / maintains an educational library of coding and billing training materials via central repository
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Certified in professional coding as demonstrated by either Certified Professional Coder (CPC from AAPC} or Certified Coding Specialist (CCS from AHIMA) or other comparable coding / training certification(s)
+ 5+ years of direct experience in Fee-For-Service medical coding, clinical medical record documentation, and reimbursement
+ 5+ years of experience in instructional educational experience, training provider small and large groups
+ Proven auditing and solid education training background in coding, reimbursement, and provider education
**Preferred Qualifications:**
+ Advanced knowledge of clinical coding processes and documentation standards, guidelines, policies, and procedures
+ Knowledge of quality assurance and compliance processes in support of documentation improvement and provider education, such as through standard quantitative audit programs
+ Proven extensive knowledge of CPT/HCPCS, ICD-10-CM, Medical Terminology and Anatomy and Medicare provider coding and billing regulations
+ Advanced expertise in curriculum development
+ Highly proficient in educating and training adults
+ Highly proficient in Microsoft Word, Excel and PowerPoint
+ Demonstrated ability to work in a rapidly changing healthcare environment while considering innovative approaches to training and education to enhance performance
+ Demonstrated ability to develop and lead provider/coding professional education efforts related to documentation and coding/improvement
+ Demonstrated familiarity with electronic medical records (EMR) /electronic health record (EHR), electronic billing and coding applications, operations, process improvement, organizational development and assessing customer needs
+ Demonstrated ability to efficiently and effectively gather and exchange data (both internally and externally) with providers and / or other stakeholders within the organization.
+ Demonstrated ability to collaborate with and educate a diverse group of people including providers, coding professionals, auditors, and administrative staff
+ Demonstrated ability to be comfortable conducting 1:1 and group education sessions
+ Proven advanced interpersonal and communication skills, written and verbal, to communicate effectively and efficiently to various audiences
+ Proven solid analytical skills to interpret clinical data in a multi-specialty, complex, and highly matrixed environment
+ Proven effective project management skills
+ Proven solid analytical and decision-making skills to adapt quickly to a changing environment while completing multiple prioritized tasks
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._