Coding Specialist

The Company

CenterWell Senior Primary Care, a subsidiary of Humana Inc., is a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Kentucky, Louisiana, Missouri, Mississippi, Nevada, North Carolina, South Carolina Tennesse, and Texas. CenterWell Senior Primary Care has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary care combined with an excellent patient experience. CenterWell Senior Primary Care has experience in both the treatment and management of most chronic and acute-care conditions. The practices also provide health education and value-added, well-being services at the centers and around their neighborhoods to help both patients and community members improve their health.

At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.

The Role

The Medical Coder confirms appropriate diagnosis related group (DRG) assignments. 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.

Benefits

We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k, tuition reimbursement, vacation, paid holidays, work-life balance, growth, a positive and fun culture and much more.

Hybrid Schedule

This is a Hybrid-Office position. Medical Coder will be expected to work on-site 3 days a week and from home 2 days a week.

Note: besides working at home-base center, there may be additional centers in Louisiana that may require a coder to work on-site upon request. No traveling outside of Louisiana required.

Work Schedule: Monday through Friday, 8:00 am to 5:00pm

Will travel 3 days a week to any of these Centerwell Centers : Denham Springs, Covington, Hammond, Slidell.

Vaccine Policy

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Required Qualifications

• Certified medical coder with Certification(s) from AAPC or AHIMA (e.g., CPC, CRC, CCS, or CCS-P).

• Expertise in ICD-10-CM and HCPCS

• Expertise in CPT, Category II, and/or E/M coding

• EMR experience (e.g., eCW, EPIC, etc.)

• Experience with MS office products

• Strong communication skills, written and verbal

• Strong team player and emotional intelligence

• Ability to make decisions based on independent thinking and business objectives

• Must be able to commute to 4 CenterWell Centers

Preferred Qualifications

• Bachelor's Degree
• 5 years of experience as a certified medical coder
• 2 years of Risk Adjustment (HCC) coding knowledge/experience
• 1 years of HEDIS knowledge/experience

Additional Information

• Hybrid Schedule: This is a Hybrid-Office position. Medical Coder will be expected to work on-site three days a week and from home 2 days a week.

• Note: besides working at home-base center, there may be additional non-home centers on the MS Coast that may require a coder to work on-site upon request. No traveling outside of MS required.

• Work Schedule: Monday through Friday, 8:00 am to 5:00pm

Work from 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

• 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

• Satellite and Wireless Internet service is NOT allowed for this role.

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