What are the responsibilities and job description for the Medical Coder position at Humana?
Description
CenterWell represents our payer-agnostic healthcare services for senior primary care, home health and pharmacy. Launched in spring 2021, CenterWell creates experiences that provide patients with ease, comprehensive care and a personal approach. By placing each patient at the center — focusing on their unique needs and personalizing the care we deliver to them — we can help them lead happier, healthier lives.CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. It is part of Humana’s Primary Care Organization, which is the nation’s largest provider of value-based, senior-focused primary care.
More about CenterWell Senior Primary Care:
More than 85 locations, which are part of the 235 senior primary care centers operated by Humana’s Primary Care Organization.
Integrated care teams that include physicians, nurse practitioners, medical assistants, medical coders and center administrators.
Nearly 250,000 total patients served in 2022, including those in Medicare Advantage, value-based arrangements or other Medicare programs.
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.
Responsibilities
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.
Required Qualifications:
- Certified medical coder with one of the following certifications CPC,CPC-A, CPC-H or CPMA from AAPC or CCA, CCSP, CCS from AHIMA
- 1 year or more of Healthcare / Medical Coder experience in Clinics, Specialty Office, Hospitals, etc.
- ICD 10 knowledge
Preferred Qualifications:
- CRC Certification (Certified Risk Adjustment Coder)
Additional Information:
This is a Remote Position
Working hours: Monday to Friday 8:00 AM to 5:00 PM
Travel: This position requires once a month travel for Staff Meeting and Education. It may also require a small percentage of travel, 10% or less, to clinics in the market as needed.
WAH Statement:
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
Alert:
Humana and its subsidiaries value personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana’s secure website.
Scheduled Weekly Hours
40
