Medical Coder - CenterWell - Baytown/Beaumont/Port Arthur TX

Profile

Description

Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At CenterWell Senior Primary Care, a division of Humana, we want to help people everywhere, including our associates, lead their best lives. We support our associates to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers. At CenterWell Senior Primary Care, we're seeking innovative people who want to make positive changes in their lives, the lives of our members, and the healthcare industry as a whole.

The Medical Coder extracts clinical information from a variety of medical records and assigns appropriate diagnosis, procedure, and evaluation management 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 will conduct pre-visit chart reviews using multiple systems to identify chronic conditions and HEDIS gaps, in which they communicate to providers. The Medical Coder will also conduct post-visit chart reviews to verify diagnosis codes and add procedure and E/M codes. Responds to or clarifies internal requests for medical information. Works within broad guidelines with little oversight.

Required Qualifications

Associates Degree

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

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:

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may 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

Company info

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