Medical Coder - CenterWell - Houston, TX
Partners in Primary Care

Job Info

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Description

Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At CenterWell Senior Primary Care, a division of Humana, we want to help people everywhere, including our associates, lead their best lives. We support our associates to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers. At CenterWell Senior Primary Care, we're seeking innovative people who want to make positive changes in their lives, the lives of our members, and the healthcare industry as a whole.

The Medical Coder extracts clinical information from a variety of medical records and assigns appropriate diagnosis, procedure, and evaluation management codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment.

Responsibilities

The Medical Coder will conduct pre-visit chart reviews using multiple systems to identify chronic conditions and HEDIS gaps, in which they communicate to providers. The Medical Coder will also conduct post-visit chart reviews to verify diagnosis codes and add procedure and E/M codes. Responds to or clarifies internal requests for medical information. Works within broad guidelines with little oversight.

Required Qualifications

• Associates Degree
• Certified medical coder with Certification(s) from AAPC or AHIMA (e.g., CPC, CRC, CCS, or CCS-P).
• Expertise in ICD-10-CM and HCPCS
• Expertise in CPT, Category II, and/or E/M coding
• EMR experience (e.g., eCW, EPIC, etc.)
• Experience with MS office products
• Strong communication skills, written and verbal
• Strong team player and emotional intelligence
• Ability to make decisions based on independent thinking and business objectives

Preferred Qualifications

• Bachelor's Degree
• 5+ years of experience as a certified medical coder
• 2+ years of Risk Adjustment (HCC) coding knowledge/experience
• 1+ years of HEDIS knowledge/experience

Additional Information:

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability.ModernHire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Modern Hire interview. In this interview, you willread to a set of interview questions and you willenter/text responses to each question. You should anticipate this interview to take about 10 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana's secure website.

Scheduled Weekly Hours

40

Equal Opportunity Employer
It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact yourcareer@humana.com for assistance.

Humana Safety and Security
Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact yourcareer@humana.com to validate the request.

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