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Job Details

Medical Coding Coordinator 2 CPC- Remote US

Company name
Humana Inc.

Location
Aberdeen, SD, United States

Employment Type
Full-Time

Industry
Insurance, Healthcare

Posted on
Jun 28, 2021

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Description

The Medical Coding Coordinator 2 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 Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Responsibilities

The Medical Coding Coordinator 2 determines whether to reject or pay claims following coding guidelines and organizational policies and procedures.

Responds to or clarifies internal requests for medical information.

Decisions are typically focus on interpretation of area/department policy and methods for completing assignments.

Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction.

Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Required Qualifications

Certified Professional Coder certification (CPC).

Two (2) years of experience coding and reviewing medical records.

Proficient in Microsoft Office Outlook, Excel and Word.

Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Must have a separate room with a locked door that can be used as a home office, to ensure you have absolute and continuous privacy while you work.

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.

Pr eferred Qualifications

Associate's or Bachelor's Degree.

3-5 years of experience as a certified medical coder.

2 years of claims processing experience.

Experience working remotely and attending/participating in virtual work trainings.

Medicare guidelines experience.

Ability to solve complex problems.

Experience in a production driven environment.

Additional Information

Work Days/Hours: Monday - Friday; 8 hour shift - 7:30am - 4:00pm Eastern Standard Time (EST) with some flexibility with work hours upon completion of training.

Training: Approximately 4 or more weeks.

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Montage/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 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.

Scheduled Weekly Hours

40

Company info

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

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