Role: Certified Professional Coder Assignment: CAC FL Medical Center Location: NW 183rd Miami, 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 world – make a difference in people’s lives.
We are seeking a Certified Coder to code all medical services procedures (CPT-4) pharmaceuticals supplies, (HCPCS) and patients’ diagnosis, symptoms, complaints, condition problem (ICD-10) · Utilizes ICD-10, CPT-4 and HCPCS codes for reporting diagnosis and procedures · Ensures progress notes are coded accurately and to the maximum level of specificity following established coding guidelines. · Ensures receipt of all progress notes, logs, walk-in notes, etc. at the end of the day · Works with physicians for coding accuracy. · Runs outstanding encounter report daily to ensure all services have been coded and encounters have been properly closed. · Informs administrator on issues pending in the outstanding encounter report that do not pertain to coding. · Maintains up to date on new coding regulations Ability to understand, interpret and convey technical information. · Examines insurance documents for accuracy and completeness · Prepares insurance records in accordance with detailed instructions · Takes initiative to work independently and make decisions effectively in a stressful environment*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. · Accountability: Meets established expectations and takes responsibility for achieving results; encourages others to do the same. · Customer Focus: Connects meaningfully with customers to build emotional engagement and customer advocacy. Simplifies complexity and integrates internal efforts to deliver an optimal customer experience.
ROLE ESSENTIALS * · High-school diploma · 2 years of experience in Medical Billing* · Proficient in the use of Computer, including MS-Outlook, Word, and Excel (Windows PC Applications)* · Medical Coding Certificate (through AAPC or AHIMA)* · Must be able to follow policies and procedures and work flexible schedule and location.* · Able to respect and maintain patient confidentiality at all times* · Must be able to perform daily procedures, meeting high quality standards and using his/her independent judgment following standards and regulations.* · Detail oriented and able to work efficiently in a stressful environment. * * 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. * If selected for this role, you will be required to complete and pass a background check/investigation for AHCA compliance.
ROLE DESIRABLES · Bi-lingual English/Spanish desired * - 2 years of experience in Medical Coding (ICD-10, CPT, and HCPCS) · Associate Degree (AA/AS) in Medical Related Field * · 5 years of experience in Medical Coding (ICD-10, CPT, HCPC) and Billing.* · Medical records Auditing Certification (CPMA) a plus* · Experience with EMR (electronic medical records)**
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: Certified Medical Coder (NW 183rd, Miami, FL)
Requisition ID: 178619