IPA Medical Coder

CenterWell

14d • Hybrid

About The Position

Become a part of our caring community and help us put health first The Medical Coder extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Medical Coder confirms appropriate diagnosis related group (DRG) assignments. Review and analyze patient medical records to identify accurate ICD-10-CM diagnosis codes, ensuring all relevant conditions affecting patient's care are documented to the highest level of specificity. Validate that documentation supports risk adjustment coding and HCC capture in compliance with regulatory guidelines. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions are regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals, and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology. Works within broad guidelines with little oversight. Seeking candidates that reside in Georgia or Tennessee. PLEASE SUBMIT A COPY OF YOUR RESUME and YOUR AAPC or AHIMA CERTIFICATION CARD WITH EXPIRATION DATE Use your skills to make an impact

Requirements

• Certified medical coder with one of the following certifications CPC, CPC-A, CPC-H or CPMA from AAPC or CCA, CCSP, or CCS from AHIMA
• ICD-10-CM coding knowledge
• Proficiency with computers, including Microsoft Outlook, Teams, Adobe and Office products.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Candidate MUST reside in Georgia or Tennessee.
• 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 required; 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

• Bachelor's Degree
• 5 or more years of experience as a certified medical coder
• Familiar working within a variety of electronic medical record systems (EMRs/EHRs)
• Prior experience in a role requiring direct communication with physicians and other healthcare professionals
• Strong written/verbal communication skills
• Prior experience working in Medicare Risk Adjustment

Responsibilities

• Extract clinical information from a variety of medical records
• Assign appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records
• Assume ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment
• Confirm appropriate diagnosis related group (DRG) assignments
• Review and analyze patient medical records to identify accurate ICD-10-CM diagnosis codes, ensuring all relevant conditions affecting patient's care are documented to the highest level of specificity
• Validate that documentation supports risk adjustment coding and HCC capture in compliance with regulatory guidelines
• Analyzes, enters and manipulates database
• Responds to or clarifies internal requests for medical information
• Decisions are regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals, and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology

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