Medical Coder

CenterWell•The Villages, FL
•Onsite

About The Position

The Medical Coder confirms appropriate diagnosis related group (DRG) assignments. As a Medical Coder, you will provide medical coding expertise and support for accurate code assignment and documentation review. 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.

Requirements

  • Must be certified at least one of the following: CCS, CRC, or CPC
  • Recent graduates with coding experience are encouraged to apply
  • Experience using ICD 10, HCPCS and CPT coding books
  • Proficiency with Electronic Medical Records
  • Experience reading, interpreting and coding charts
  • This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Nice To Haves

  • 2+ years of experience as a certified medical coder

Responsibilities

  • Review medical records, clinical documentation, and related source materials to assign appropriate diagnosis and procedure codes
  • Apply ICD-10-CM, CPT, HCPCS, and other applicable coding systems in accordance with official coding guidelines and company standards
  • Ensure coding is accurate, complete, timely, and compliant with regulatory and organizational requirements
  • Analyze, enter, update, and maintain coding-related information in internal databases and systems
  • Respond to and clarify internal requests for medical information, coding decisions, and documentation-related questions
  • Identify missing, inconsistent, or unclear documentation and escalate issues as appropriate
  • Support audits, quality reviews, and coding validation activities
  • Maintain productivity and quality expectations for assigned coding work
  • Stay current on coding updates, regulatory changes, and internal process requirements
  • Collaborate with internal teams to support accurate documentation and coding outcomes
  • Use your skills to make an impact

Benefits

  • medical
  • dental
  • vision benefits
  • 401(k) retirement savings plan
  • time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
  • short-term and long-term disability
  • life insurance
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