Senior Medical Coding Auditor - WAH Nationwide

Profile

Description

Humana's recently created Clinical Resource Team is looking to grow the team with a Senior Medical Coding Auditor roles! This is a unique team that's primary role is to quickly jump to the aid of several teams throughout the organization. The team floats to the work, as assigned, and helps their fellow co-workers with whatever challenges they're facing.

So do you love working on several different projects? Do you take pride in helping others and being flexible? Do you have great attention to details and a passion for healthcare? Do you have a solid background in medical auditing, coding and medical record review? Well, if you answered YES to one or more of the above you should strongly consider the Senior Medical Coding Auditor opportunity with Humana.

Responsibilities

What we need your help with:

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.

Confirms appropriate diagnosis and procedure coding (DRG and/or CPT).

Analyzes, enters and manipulates database as well as responds to or clarifies internal requests for medical information.

Will be part of a float team that requires flexibility and the ability to work assignments that change frequently. At times, may work multiple assignments to meet the organization's needs.

What you need for success! - Required Qualifications

5 years of experience in medical coding

3 years with coding certification from AAPC and/or AHIMA

Prior experience reading and coding from medical records

Prior experience working independently and determine appropriate courses of action

Demonstrated experience effectively communicating to internal customers through both written and verbal communication

Work at Home Requirements

Must have the ability to provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required.

A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

What you need to be considered a Superstar! - Preferred Qualifications

2 years of experience auditing medical records

Health industry related Bachelor's degree

Registered Nurse with active license in state of residence

Previous Medicare/Medicaid experience

Broad range of clinical coding experience

Additional Information

Once the health concerns effecting our country calms down this role may be required to travel 2-4 times a year for training and team building events.

The operating hours for the department is Monday - Friday 6 am - 6 pm and individuals are able to work flex their hourly schedules 5 days a week as long as the 40 hours per week are met.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com