Humana Coding Supervisor (San Antonio) in San Antonio, Texas

Role: Coding Supervisor

*Assignment: *Care Delivery

Location: San Antonio, TX

Humana’s dream is to help our members and our own associates achieve lifelong well-being. Use your clinical coder experience to work with providers in a 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 with an associate who cares.

Assignment Capsule

Be part of a clinical leadership team, where we provide innovative health solutions to members and providers.

Humana is seeking a Medical Coding Supervisor who will hire, lead, and develop clinical and non- clinical professional associates. The Front Line Leader/FLL will collaborate with other health care givers in reviewing actual and proposed medical care and services against established Guidelines making a difference in people’s lives: 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. As a Front Line Leader you will:

  • 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.
  • Report trends
  • Develop system-view recommendations
  • Implement appropriate actions to control trend
  • Create and conducts provider outreach initiatives
  • Ensure compliance with regulatory requirements

Key Competencies * _Interpersonal Effectiveness:_ Understands oneself, effectively manages emotions, listens and communicates with respect, and builds trusting relationships. * _Leads Positively_: Leads by example to cultivate a climate of motivation, positive energy and meaning in work. Assesses, selects, recognizes, develops, and empowers diverse talent. * _Accountability_: Meets established expectations and takes responsibility for achieving results; encourages others to do the same.

Role Essentials * Certified Medical Coder with one of the following active certifications and with a high degree of competency (CPC, CPC-H, or CPMA from AAPC; /or/CCA, CCSP, CCS from AHIMA) * Strong experience in ICD-10 and CPT coding * Prior Management or Supervisory experience * Strong written and verbal communication skills; strong analytical, organizational and time management skills * Prior coding experience in a medical office environment * Strong knowledge of Microsoft Office * High school diploma or equivalent required * Must be able to travel to various offices in the Miami-Dade market regularly * This role is considered to be in a patient facing environment and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB * Ability to work independently under general instructions and with a team * Valid driver’s license and/or dependable transportation necessary

Role Desirables * Associate’s or Bachelor’s degree * Prior leadership experience in a health care/managed care environment * MRA and HEDIS knowledge

Title: Coding Supervisor (San Antonio)

Location: Texas-San Antonio

Requisition ID: 178142