Role Description We are seeking an experienced Medical Biller to join our team. The ideal candidate will have comprehensive knowledge of billing processes for Medicaid, Medicare, Commercial, VA, Champus, and Workers’ Compensation. Experience with critical access hospitals is a plus. This position requires meticulous attention to detail, excellent organizational skills, and the ability to work effectively within a team. - Accurately prepare and submit claims to Medicaid, Medicare, Commercial, VA, Champus, and Workers’ Compensation. - Review and ensure the accuracy of billing data and claims before submission. - Follow up on unpaid claims and ensure timely payment from insurance providers. - Resolve billing issues and discrepancies by working closely with healthcare providers, patients, and insurance companies. - Maintain up-to-date knowledge of billing regulations and insurance guidelines. - Assist in the preparation and analysis of billing reports. - Communicate with healthcare clients to ensure proper billing practices. - Provide exceptional customer service to patients and address billing inquiries promptly and professionally. Qualifications - Proven experience as a Medical Biller in a healthcare setting. - In-depth knowledge of billing procedures for Medicaid, Medicare, commercial, VA Champus, and workers’ compensation. - Familiarity with critical access hospital billing is a plus. - Strong understanding of medical terminology and coding ICD-10, CPT, and HCPCS. - Excellent attention to detail and organizational skills. - Proficiency in billing software and electronic health records EHR systems. Benefits - Competitive salary - Comprehensive health, dental, and vision insurance - Paid time off and holidays - Continuing education and professional development opportunities - Supportive and collaborative work environment Company Description At Coding Concepts, our foundation is built on core values of integrity, transparency, and an unwavering commitment to our clients. Our primary goal is to collaborate with clients to achieve their strategic objectives. We are dedicated to helping them develop a robust foundation and effective business strategy, ensuring their success. Coding Concepts is proud to be an equal opportunity employer. We celebrate diversity and are dedicated to fostering an inclusive, supportive, and respectful environment where every team member can thrive. Our commitment to embracing different perspectives and backgrounds drives our success and innovation. At Coding Concepts, we believe that a diverse and inclusive workplace is essential to delivering the best possible service to our clients and community. This is a remote position.

• The Inpatient Coder is responsible for accurately abstracting data into appropriate client electronic medical record systems • Performs data entry of required abstracted patient information into the client’s information system • Assigns Present on Admission (POA) indicators according to AHA POA guidelines • Queries physicians when appropriate and interacts with Clinical Documentation staff as per account requirements • Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards • Assigns appropriate ICD-10-CM/PCS codes to inpatient accounts as per designated workflow • Abstracts and enters coded data for hospital statistical and reporting requirements • Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution

• Review medical records to identify pertinent diagnoses and procedures relative to the patient's health care encounter • Assigns Evaluation & Management (E/M) level for emergency room encounters- facility and professional • Assign principal and secondary CPT codes and associated charges for procedures and injections/infusions performed in the emergency room • Assign appropriate modifiers to CPT codes based on hospital, payer, or state guidelines • Abstracts appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record • Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the client • Participates in Coding Roundtables through presentation of materials, articles and current issues related to coding and Health Information Management • Maintains current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting • Maintains effective and professional communication skills • Contributes to a positive company image by exhibiting professionalism, adaptability, and mutual respect

Title: Medical Coder Location: Clemson United States Job Description: Become a part of our caring community The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will - Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. - Identify educational needs based on reports - Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. - Provider onsite education, based on business needs - Collaboration with other market provider facing role - Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. - Analyze coding audit results and other relevant data to develop data-driven educational materials and interventions. - Participate in cross-functional teams to improve documentation, data integrity, and workflow processes Use your skills to make an impact Required Qualifications - AHIMA or AAPC CPC (Certified Professional Coder) Certification - 3 or more years of medical coding education and / or auditing in a healthcare setting experience - Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets - Experience speaking with leadership, webinars public speaking and/or presentation skills with healthcare providers - Risk Adjustment knowledge - Familiar with coding guidelines - Live in NC, SC, GA, VA, MD or TN Preferred Qualifications - Bachelor's Degree - CRC -Certified Risk Adjustment Coder - Experience working with healthcare providers - Strong knowledge of all Microsoft Office applications - Valid Driver's license and reliable transportation - Medicare Risk Adjustment knowledge Additional Information Work at home - with travel (up to 5%) to surrounding provider offices As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. Work at Home Guidance To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: - 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 - Satellite, cellular and microwave connection can be used only if approved by leadership - 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 #LI-BB1 Travel: While this is a remote position, occasional travel to Humana''s offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $59,300 - $80,900 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of 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. About us About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.