Role: Medical Coder (CPC, CPC-A, CPC-H, or CPMA from AAPC; /or/ CCA, CCSP, CCS from AHIMA) Assignment: MetCare Location: Ormond Beach, 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, specificity and 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 by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Humana's overall success first.
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 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 - (Metcare - Ormond Beach)
Location: FL-Ormond Beach
Requisition ID: 178723