Code Edit Disputes Medical Coder

Become a part of our caring community and help us put health first Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.Where you Come InThe Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience and depth of knowledge of administrative processes and organizational knowledge.This is a remote position from anywhere in the US.What Humana OffersWe are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. Use your skills to make an impact WORK STYLE: Remote, work at home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.WORK HOURS: Typical business hours are Monday-Friday, 8 hours/day, 5 days/week. Required QualificationsCoding Certification required: AAPC CPC (no Apprentice)Minimum of 3 years' experience as a Certified Medical CoderDemonstrate ability to problem-solve complex coding issuesExperience with Medicare and Medicaid coding guidelinesStrong data entry and attention to detail skills with the ability to manage multiple tasks in a fast-paced setting with competing prioritiesIntermediate experience with Microsoft Word and Excel, Outlook, and Teams​Preferred QualificationsBachelor'sDegree5 or more years of experience as a Certified Medical CoderCPMA certificationMS-DRG auditing or APR auditing experienceMust be passionate about contributing to an organization focused on continuously improving consumer experiencesExperience in a production driven environmentAdditional InformationWork at Home Requirements• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested• Satellite, cellular and microwave connection can be used only if approved by leadership• Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA informationInterview Format As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Hire Vue (formerly Modern Hire) to enhance our hiring and decision-making ability. Hire Vue (formerly Modern Hire 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 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.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours40Pay RangeThe compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$48,300 - $65,900 per yearDescription of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively, “Humana”) off