Consultative Coding Professional
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 Corpus Christi, TX 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.
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 Corpus Christi, TX
- Will travel 50% to assigned clinics
- Proficient in MS Office Suite and Zoom/Teams
- Must be comfortable presenting on camera
Nice To Haves
- Experience with Optum Encoder or AthenaOne EMR
- CRC or CDEO
- Comfortable with public speaking
Responsibilities
- Cultivate relationships with clinicians to serve as the single contact for questions and issues relating to documentation and coding.
- Identify documentation improvement areas and partner with clinical and coding education to deliver education related to improvement opportunities.
- Perform Quality Assurance on post-visit reviews.
- Manage the special handling of Mergers & Acquisitions by performing problem list cleanup and conducting process training on documentation requirements.
- Collaborate with HEDIS leaders and champions to identify HEDIS gaps and deficiencies.
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.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
