[Hiring] Code Edit Disputes Medical Coder @Humana

Role Description

Become a part of our caring community. The 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. Responsibilities include:

• Analyzing, entering, and manipulating database.
• Responding to or clarifying internal requests for medical information.
• Making decisions focused on methods, tactics, and processes for completing administrative tasks/projects.
• Exercising discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes, and techniques.

This is a remote position from anywhere in the US.

Qualifications

• Coding Certification required: AAPC CPC (no Apprentice)
• Minimum of 3 years' experience as a Certified Medical Coder
• Demonstrated ability to problem-solve complex coding issues
• Experience with Medicare and Medicaid coding guidelines
• Strong data entry and attention to detail skills
• Ability to manage multiple tasks in a fast-paced setting with competing priorities
• Intermediate experience with Microsoft Word and Excel, Outlook, and Teams

Requirements

• Bachelor's Degree (Preferred)
• 5 or more years of experience as a Certified Medical Coder (Preferred)
• CPMA certification (Preferred)
• MS-DRG auditing or APR auditing experience (Preferred)
• Passionate about contributing to an organization focused on continuously improving consumer experiences (Preferred)
• Experience in a production-driven environment (Preferred)

Benefits

• Remote opportunity
• Professional development & continued education
• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Paid time off, company and personal holidays
• Paid parental and caregiver leave
• Short-term and long-term disability
• Life insurance
• Many other opportunities

Additional Information

• Work at Home Requirements:
  • Minimum download speed of 25 Mbps and upload speed of 10 Mbps recommended.
  • Wireless, wired cable, or DSL connection is suggested.
  • Satellite, cellular, and microwave connection can be used only if approved by leadership.
  • Associates in California, Illinois, Montana, or South Dakota will receive bi-weekly payment for internet expenses.
  • Humana will provide telephone equipment appropriate for business requirements.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
• Interview Format:
  • Utilizing Hire Vue (formerly Modern Hire) for interviews.
  • Pre-recorded Voice Interview and/or SMS Text Messaging interview.
  • Pre-recorded interview lasts approximately 10-15 minutes.
  • SMS Text interview lasts 5-10 minutes.
• Scheduled Weekly Hours: 40
• Pay Range: $48,300 - $65,900 per year