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Code Edit Disputes Team Medical Coding Coordinator - Remote US

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 In 

The 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 Offers 

We 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 HOURS and STYLE: 100% remote opportunity-- work at home. Shifts are 8 hours/day and 5 days per week (Monday through Friday). Schedule must begin between 6AM-9AM EST and accommodate Eastern time zone.

Required Qualifications – What it takes to Succeed 

  • AAPC (CPC) or AHIMA (CCS) coding certification (no apprentice)

  • Minimum of 2 years Outpatient medical coding experience

  • Medicare and/or Medicaid experience

  • Prior healthcare experience

  • Microsoft Office experience

  • Critical thinking and root cause analysis

  • Must be …

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