Humana logo
Humana

Louisville, Kentucky-based Humana is a leading healthcare company that offers a variety of health, wellness, and insurance products and services designed to off

Medical Coder

Location

North Carolina + 5 moreAll locations: North Carolina | South Carolina | Georgia | Virginia | Maryland | Tennessee

Posted

1 day ago

Salary

$59.3K - $80.9K / year

Seniority

Senior

No structured requirement data.

Job Description

Medical Coder

Humana

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.

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Professional Coder - Day - Physician Professional Coders

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Capital Health, a premier healthcare provider since its founding in 1997, is dedicated to delivering exceptional patient care through its network of hospitals,

Title: Professional Coder - FT - Day - Physician Professional Coders Remote (NJ, PA, AL) Location: Telecommuters United States Job Description: Full time job requisition id JR108781 Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. 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Decypher logo

Medical Coder II

Decypher

People. Processes. Results.

Full TimeRemoteTeam 201-500Since 2002H1B No Sponsor

• Accurately assigns diagnosis and procedure codes for inpatient facility and professional services. • Performs necessary tasks within MHS GENESIS and other military coding systems. • Accurately assign Evaluation and Management (E&M) codes, ICD-CM diagnoses, CPT and HCPCS, modifiers, and quantities derived from medical record documentation. • Reviews encounter and/or record documentation to identify and resolve inconsistencies, ambiguities, or discrepancies. • Assigns accurate codes based on provider responses to coding queries. • Supports DHA coding compliance by performing due diligence in ethically and appropriately researching and/or interpreting existing guidance. • Utilizes MHS computer systems to remotely access patient records and assign codes for patient encounters in support of other MTFs. • Achieve and maintain DHA coding productivity and accuracy standards for the position. • Educates and provides feedback to providers and clinical staff to resolve documentation issues to support coding compliance. • Acts as a source of reference to medical staff having questions, issues, or concerns related to coding. • Responds to provider questions and provides examples of appropriate coding and documentation reference(s).

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Franciscan Medical Group logo

Coder II

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OtherRemoteTeam 10,001

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