Medical Coder

CenterWell

7d • Remote

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 is responsible for extracting clinical information from medical records and assigning accurate codes using ICD-10-CM, CPT, and HCPCS standards. This position utilizes GenAI and advanced coding tools to perform efficient chart reviews, ensure compliance with regulatory guidelines, and optimize documentation for accurate reimbursement. This position requires advanced analytical capabilities, sound independent judgment, and accountability for complex administrative and operational functions. Responsibilities include managing and manipulating clinical databases, responding to internal inquiries, and providing clarification on medical documentation and coding-related information.

Requirements

• Certified medical coder with one of the following certifications CPC,CPC-A, CPC-H or CPMA from AAPC or CCA, CCSP, CCS from AHIMA
• Proficiency in ICD-10-CM, CPT, and HCPCS coding standards
• Experience with coding software and electronic health record (EHR) systems
• Strong organizational and analytical skills
• Effective verbal and written communication skills
• Ability to work independently with minimal supervision

Nice To Haves

• Bachelor's Degree
• 5 or more years of experience as a certified medical coder
• Experience with Medicare Risk Adjustment coding

Responsibilities

• Code and abstract patient encounters using ICD-10-CM, CPT, and HCPCS.
• Leverage GenAI and other advanced tools to streamline chart reviews and coding workflows.
• Ensure accurate sequencing of codes in accordance with government and payer regulations.
• Review and validate documentation for diagnoses, procedures, and treatment outcomes.
• Extract diagnostic and procedural information from clinical documentation.
• Provide feedback and education to providers to improve documentation quality.
• Respond to internal inquiries regarding medical information.
• Maintain confidentiality and comply with HIPAA regulations.
• Analyze, enter, and manage clinical data within medical databases.
• Coordinate daily priorities and workflows for administrative teams and/or external vendors.
• Monitor progress toward schedules and goals to ensure timely and accurate coding.

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