IPA Medical Coder

Become a part of our caring community and help us put health first
The Medical Coder 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 Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment.

The Medical Coder confirms appropriate diagnosis related group (DRG) assignments. Review and analyze patient medical records to identify accurate ICD-10-CM diagnosis codes, ensuring all relevant conditions affecting patient's care are documented to the highest level of specificity. Validate that documentation supports risk adjustment coding and HCC capture in compliance with regulatory guidelines. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information.

Decisions are regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals, and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology. Works within broad guidelines with little oversight.

* Seeking candidates that reside in Georgia or Tennessee.

* * PLEASE SUBMIT A COPY OF YOUR RESUME and YOUR AAPC or AHIMA CERTIFICATION CARD WITH EXPIRATION DATE

Use your skills to make an impact

Required Qualifications

• Certified medical coder with one of the following certifications CPC, CPC-A, CPC-H or CPMA from AAPC or CCA, CCSP, or CCS from AHIMA

• ICD-10-CM coding knowledge

• Proficiency with computers, including Microsoft Outlook, Teams, Adobe and Office products.
  Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• Bachelor's Degree

• 5 or more years of experience as a certified medical coder

• Familiar working within a variety of electronic medical record systems (EMRs/EHRs)

• Prior experience in a role requiring direct communication with physicians and other healthcare professionals

• Strong written/verbal communication skills

• Prior experience working in Medicare Risk Adjustment

Additional Information

• Candidate MUST reside in Georgia or Tennessee.

• Travel:
  This is a hybrid/field position requiring the ability to work remotely with occasional travel to affiliate offices for trainings or meetings.

• Travel up to 20% to affiliate practices on as needed basis

• Shift: Monday-Friday with hours ranging between 7:30am- 5:00pm (EST)

* PLEASE SUBMIT A COPY OF YOUR RESUME and YOUR AAPC or AHIMA CERTIFICATION CARD WITH EXPIRATION DATE **

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 required; 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…