Humana Medical Coder (Boca Raton) in Boca Raton, Florida

Role: Medical Coder (CPC, CPC-A, CPC-H, or CPMA from AAPC; /or/ CCA, CCSP, CCS from AHIMA) Assignment: MetCare Location: Boca Raton, FL

Humana’s dream is to help our members and our own associates achieve lifelong well-being. Use your clinical experience to work with patients and providers in a nontraditional environment where your knowledge will make a difference. Our associates know their work is vitally important; we strive to ensure we provide perfect service with one-on-one member interactions as a coach, personal nurse, or clinical advisor. Humana’s Perfect Service® means getting the basics done right, delivering value and quality, providing guidance on needs, and being engaged with our members. We want to help our members make the right choices to live life fully. We begin that process by connecting our members with an associate who cares.

Assignment Capsule Be a part of the Clinical Guidance world – make a difference in people’s lives. Humana is seeking a Coder to identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificityand appropriateness of diagnosis codes based on services rendered.

Review medical record information to identify all appropriate coding based on CMS HCC categories. Complete appropriate paperwork/documentation/system entry regarding claim/encounter information. Support and participate in process and quality improvement initiatives.

Key Competencies _Builds Trust:_Consistently models and inspires high levels of integrity, lives up to commitments, and takes responsibility for the impact of one's actions. _Pursues Excellence:_ Seeks out learning, strives to develop and expand personally, and continuously helps others upgrade their capability to contribute to Humana. _Executes for Results:_Effectively leverages resources to create exceptional outcomes, embraces change, and constructively resolves barriers and constraints. _Collaborates:_ Engages others bygathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Humana's overall success first.

Role Essentials * Certified Medical Coder with one of the following active certifications and with a high degree of competency (CPC, CPC-A, CPC-H, or CPMA from AAPC; /or/ CCA, CCSP, CCS from AHIMA) * Knowledge/experience with ICD-9 and CPT coding * Strong written and verbal communication skills; strong analytical, organizational and time management skills * Strong computer proficiency * High school diploma or equivalent GED required * Position will require some weekly travel to offices within assigned area. * * If selected for this role, you will be required to complete and pass background check/investigation for AHCA compliance. * This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Role Desirables * Prior experience in a role/s within a medical office environment * Experience with Microsoft Office * Experience with EMR * Knowledge of MRA or HEDIS * Knowledge of ICD-10 At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. If you share our passion for helping people, we likely have the right place for you at Humana.

Title: Medical Coder (Boca Raton)

Location: FL-Boca Raton

Requisition ID: 178729