Medicare Risk Adjustment & HCC Provider Educator Seattle Area

Errika Jenkins CPC

Spokane, WA
Best answers
MRA Provider Educator- Federal Way, WA-157514

Role: Learning Facilitator

Location: Federal Way, WA

We’re looking for associates who are dedicated to service and believe in following the Golden Rule of treating others the way you want to be treated. Humana was founded on this premise, and this value is reflected in our expectations for providing perfect service to our consumers, providers, employers, agents and others we work with. At Humana, Perfect Service® means getting the basics done right, delivering value and quality, and providing everyone with personalized attention and guidance. We want to engage with our members through every step of their journey to lifelong well-being. This includes meaningful direct consumer interaction and developing positive relationships with healthcare providers. Humana associates provide Perfect Service every day to our members, employers, providers, and colleagues. We’re looking for people who improve their own well-being by looking out for the best interests of others.

Assignment Capsule
Be a part of our regional Medicare Risk Adjustment (MRA) organization - deliver value and quality in a fast paced environment.

Humana is seeking a Learning Facilitator who will be responsible for the following:

Plan, conduct and coordinate all aspects of MRA education to internal and external partners including but not limited to:
•Possess, maintain and communicate a comprehensive understanding of Medicare Risk Adjustment, Documentation & Coding guidelines to both external/internal partners while ensuring compliance with regulatory requirements & adhere to the MRA Compliance and Ethical Standards Policy
•Analyze reports in order to identify and report documentation/coding trends and opportunities and collaborate with internal and external teams to ensure the providers documentation and diagnostic code selection are appropriate and to the highest level of specificity and make/recommend improvements as necessary, including system-view recommendations based on EMR scope
•Continually assess the knowledge and appropriate application of ICD-10 documentation and coding guidelines
•Leverage reporting benchmarks and MRA success measures to prioritize efforts
•Deliver content professionally by stating a clear purpose with objective(s) and goal(s)
•Demonstrate a professional and effective face to face communication style and address issues as they arise
•Act promptly in routine situations while building productive relationships and establish rapport


Role Essentials
•Knowledge of CMS processes and procedures regarding MRA
•Exceptional interpersonal, public speaking, and presentation skills
•Strong attention to detail and exceptional follow up skills
•Strong technical knowledge of all Microsoft Office applications, including Word, Excel, and PowerPoint
•1-3 years experience with Provider relations and MRA operations
•Be able to collaborate with various levels of the organization internally.
•Demonstrated presentation and facilitation skills
•Local and ocassional overnight travel may be required, must have reliable drivers transportation and a valid dirvers license.

Role Desirables
•Bachelor’s Degree in Communications, Education, Healthcare, or similar field
•CPC certified
•Must be willing to obtain the CPC-I through the AAPC.

Additional Information

At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. If you share our passion for helping people, we likely have the right place for you at Humana.

After applying, we encourage you to join our Talent Network as well, so you can stay informed and up to date on what’s happening around our organization in the changing world of healthcare.

Role: Learning

Schedule: Full-time

Benefit Program: Traditional

Primary Location: US-Washington-Federal Way

Work Locations: WA-Federal Way-B02297 32125 32nd Avenue South Federal Way 98001

Organization: US Operations

Work Environment Type: Office

Travel: Yes, 5 % of the Time