Consultative Coding Professional

CenterWell

22h • Hybrid

About The Position

Become a part of our caring community and help us put health first The Consultative Coder provides medical coding expertise to support clinical staff (Physicians and Advanced Practice Providers) to ensure the documentation within medical records supports diagnostic and procedural coding. We consider this a hybrid-remote role with 50% travel to local clinics. Candidate must reside in Phoenix, AZ

Requirements

• 3 or more years of technical Medical Coding experience or similar (including IPA and Offshore coding management)
• RHIA, RHIT, CCS, or CPC Certification
• Must reside in Phoenix, Arizona
• Will travel 50% to assigned clinics
• Proficient in MS Office Suite and Zoom/Teams
• Must be comfortable presenting on camera
• To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees 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.
• Employees 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 employees 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.

Nice To Haves

• Experience with Optum Encoder or AthenaOne EMR
• CRC or CDEO
• Comfortable with public speaking

Responsibilities

• You will cultivate relationships with clinicians to serve as the single contact for questions and issues relating to documentation and coding.
• You will identify documentation improvement areas and partner with clinical and coding education to deliver education related to improvement opportunities.
• You will perform Quality Assurance on post-visit reviews.
• You will manage the special handling of Mergers & Acquisitions by performing problem list cleanup and conducting process training on documentation requirements.
• You will collaborate with HEDIS leaders and champions to identify HEDIS gaps and deficiencies.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed