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

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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience and depth of knowledge of administrative processes and organizational knowledge.

This is a remote position from anywhere in the US.

What Humana Offers 

We are fortunate to offer a remote opportunity for this job.  Our Fortune 100 Company values associate engagement & your well-being.  We also provide excellent professional development & continued education.  

Use your skills to make an impact
 

WORK HOURS and STYLE: 100% remote opportunity-- work at home. Shifts are 8 hours/day and 5 days per week (Monday through Friday). Schedule must begin between 6AM-9AM EST and accommodate Eastern time zone.

Required Qualifications – What it takes to Succeed 

• AAPC (CPC) or AHIMA (CCS) coding certification (no apprentice)

• Minimum of 2 years Outpatient medical coding experience

• Medicare and/or Medicaid experience

• Prior healthcare experience

• Microsoft Office experience

• Critical thinking and root cause analysis

• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Preferred Qualifications

• Medicare and Medicaid policy manuals and fee schedules

• Provider office experience

• CAS, MTV, and CRM experience

Additional Information - How we Value You

• Benefits starting day 1 of employment 

• Competitive 401k match  

• Generous Paid Time Off accrual  

• Tuition Reimbursement 

• Parent Leave 

Work-At-Home Requirements

•    WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
•    A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.  
•    Satellite and Wireless Internet service is NOT allowed for this role.
•    A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, 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.

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.

 

$43,400 - $59,600 per year

 

Description of Bene