Become a part of our caring community and help us put health firstSubject Matter Expert that serves as the point of contact for the auditing team for coding education and process questions. 

The Senior Medical Coding Professional will:

• Reviews the monthly Auditor Error Internal Review report for errors and collaborate with the disputes team to provide feedback and dispute errors as needed.

• Assists auditors with reviewing monthly Quality audit variances on a second level review basis.

• Facilitates new auditor training.

• Develops ongoing educational sessions.

• Analyzes, enters, and manipulates data.

• Responds to or clarifies internal requests for medical information. 

• Regularly stays up to date on coding guidelines and regulations by continuing to update all team members to the changes.

Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for audit components and workflow processes, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Use your skills to make an impact

WORK STYLE: Remote/Work at home but with the possibility of minimal travel for on-sites, meetings, conferences, and/or trainings
WORK HOURS: Associates will work on EST, regardless of where the associate resides. Work hours can vary, slightly, but all associates start between 6AM-9AM EST and work 8 hours/day, 5 days/week. Some flexibility might be possible, depending on business needs.

Required Qualifications

• AAPC or AHIMA Coding Certification, (CPC, RHIA, RHIT, CCS) with at least 3 years post-certification experience focused on outpatient coding

• Comprehensive knowledge of MS Word, Excel, and PowerPoint

• Proven ability analyzing and solving complex issues

• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

• Candidates must be able to work business hours aligning to EST

Preferred Qualifications

• Experience with outpatient coding in the audit scope - strongly preferred

• Bachelor's Degree

• Previous leadership experience

• Bilingual English/Spanish

Additional Information

Work at Home Requirements

• WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
• A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
• Satellite and Wireless Internet service is NOT allowed for this role.
• A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Interview Format 
As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue (formerly Modern Hire), a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

#ThriveTogether #WorkAtHome

If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$63,400 - $87,400 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About usHumana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.