DescriptionThe 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. 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.
- High School Diploma or GED
- Certified medical coder with one of the following certifications: CPC,CPC-H or CPMA from AAPC or CCA, CCSP, CCS from AHIMA
- 2 years minimum applicable medical coding experience
- Knowledge of ICD-10, CPT-4 and HCPCS codes for reporting diagnosis and procedures
- Ability to work independently and proactively with critical thinking skills
- Demonstrated ability working directly with Physicians in a consultative manner
This role is considered patient facing and is part of the company's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
- Bachelor's Degree
- 5+ years of experience as a certified medical coder
- Experience working as a Certified Medical Coder directly with Physicians, for coding accuracy.
- Experience with MRA
- Knowledge or experience with HEDIS
- Interview Format
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Montage Voice to enhance our hiring and decision-making ability. Montage Voice allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn’t missed) inviting you to participate in a Montage Voice interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
This role is considered patient facing and is part of Humana’s Tuberculosis screening program. If selected for this role, you will be required to be screened for TB
At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. If you share our passion for helping people, we likely have the right place for you at Humana.
Scheduled Weekly Hours40