Company name
Humana Inc.
Location
Bridgeport, CT, United States
Employment Type
Full-Time
Industry
Healthcare, Nursing, Audit
Posted on
Jul 30, 2021
Profile
Description
Author, recently launched by Humana, is a service experience designed to meet the whole-health needs of the people we serve. Created to innovate with the speed and agility of a modern start-up and backed by the insights and scale of Humana, Author is pioneering a customer-centered experience designed to foster trusting relationships with members to help them achieve their best health.
Dedicated to simplifying the healthcare experience and helping people navigate their healthcare journey, Author is leveraging digital technologies to eliminate fragmentation and systematic friction for members and providers.
We are seeking individuals who are passionate about solving tough problems as we forge a new path for the healthcare industry. As a member of the Author team, you will have the opportunity to make a difference in the lives and health of the members we serve.
The Medical Coding Auditor 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 Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
Responsibilities
The Medical Coding Auditor confirms appropriate diagnosis related group (DRG) assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
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
ICD 10 knowledge
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Microsoft office proficiency
Analysis and investigative proficiency
Preferred Qualifications
Bachelor's Degree
RN preferred
5 or more years of experience as a certified medical coder
intermediate proficiency with Excel (ability to create pivot tables and put it into consumable information)
Additional Information
#Author
Scheduled Weekly Hours
40
Company info
Humana Inc.
Website : http://www.humana.com