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Medical Coding Coordinator 2

Humana
United Statesfull_timeVerifiedPosted 15 Aug 2024
💰 $51,200/yr($37,200/yr$51,200/yr)

About the role

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

The Medical Coding Coordinator 2 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.

The Medical Coding Coordinator 2

  • Maintains required standards of performance in both coding accuracy and productivity to meet client turnaround and satisfaction.

  • Stays current with most recent coding changes and guidance from CMS, AHA Coding Clinics, AHIMA, Official Inpatient Coding Guidelines, as well as internal education from Physicians, CDI and Coding leadership.

  • Completes required Continuing Education hours to maintain credential requirements.

  • Maintains a collegial working relationship with other departments.

  • Performs Root Cause analysis and pursues opportunities to mitigate claim overpayments

  • Basic Reporting

  • Works with other departments such as Claims, Finance, Provider Services, and Provider Configuration and Load 

  • Create Financial Recovery Overpayment Letters 


Use your skills to make an impact
 

Required Qualifications

  • 2 or more years of Medical claim processing experience

  • 2 or more years of experience as a certified medical coder (AAPC Coding Certified)

Preferred Qualifications

  • Financial Recovery or Quality Audit experience or working within a similar environment(s)- (Pre and Post Pay)

  • Medical claims experience (Institutional and professional claims)

  • Proficiency in Microsoft Office applications Word and Excel

  • Ability to quickly learn new systems

  • Ability to manage and prioritize tasks based on business need

Additional Information

  • Schedule: Monday to Friday from 8 am to 5 pm EST.  with flexibility, Overtime as needed based on business needs

  • Training: 100% Virtual

Additional Information
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

Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/yammer and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.

#LI-BB1

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

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Company

Humana

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