Code Edit Disputes Medical Coder

Humana

1d • Remote

About The Position

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience and depth of knowledge of administrative processes and organizational knowledge. This is a remote position from anywhere in the US. What Humana Offers We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. Use your skills to make an impact WORK STYLE: Remote, work at home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. WORK HOURS: Typical business hours are Monday-Friday, 8 hours/day, 5 days/week.

Requirements

• Coding Certification required: AAPC CPC (no Apprentice)
• Minimum of 3 years' experience as a Certified Medical Coder
• Demonstrate ability to problem-solve complex coding issues
• Experience with Medicare and Medicaid coding guidelines
• Strong data entry and attention to detail skills with the ability to manage multiple tasks in a fast-paced setting with competing priorities
• Intermediate experience with Microsoft Word and Excel, Outlook, and Teams
• 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
• Associates 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 associates 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
• CPMA certification
• MS-DRG auditing or APR auditing experience
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Experience in a production driven environment

Responsibilities

• extracts clinical information from a variety of medical records
• assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records
• Analyzes, enters and manipulates database
• Responds to or clarifies internal requests for medical information

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees