Become a part of our caring community and help us put health first
 

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.

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.

Use your skills to make an impact
 

Required Qualifications

• Certified medical coder with one of the following credentials:

  • AAPC: CPC, CPC-A, CPC-H, or CPMA

  • AHIMA: CCA, CCSP, or CCS

• Minimum of two years of experience in a healthcare coding role

• 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

• Commitment to improving consumer experiences in healthcare

Preferred Qualifications

• Bachelor’s Degree

• Experience with Medicare Risk Adjustment coding

Additional Information

• Remote Role

• Standard working hours required; 8:00 am - 5:00 pm; Must be able to work within Eastern Time Zone

Work at Home Requirements

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees 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

• Employees 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 employees 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

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.

 

$53,100 - $72,500 per year

 

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 vi