Humana Medical Coder/Educator in Louisville, Kentucky

Role: Medical Coder/Educator Assignment: MRA Location: Louisville, KY

We’re looking for associates who are dedicated to service and believe in following the Golden Rule of treating others the way you want to be treated. Humana was founded on this premise, and this value is reflected in our expectations for providing perfect service to our consumers, providers, employers, agents and others we work with. At Humana, Perfect Service® means getting the basics done right, delivering value and quality, and providing everyone with personalized attention and guidance. We want to engage with our members through every step of their journey to lifelong well-being. This includes meaningful direct consumer interaction and developing positive relationships with healthcare providers. Humana associates provide Perfect Service every day to our members, employers, providers, and colleagues. We’re looking for people who improve their own well-being by looking out for the best interests of others.

Assignment Capsule Are you an analytical thinker? Would you enjoy analyzing various types of data to identify and solve complex business problems? As a Medical Coder/Educator you will: provide strategic leadership and consultation services for the business. You will complete analyses and prepare disclosure materials while interacting and building partnerships with Humana's code editing, communications, and information technology teams and with external vendors. * Assist vendors, providers and Humana market offices with questions related to billing for specialty audits,

  • Develop audit tools and conduct reviews at providers’ offices

  • Act as a liaison between multiple business partners to identify and resolve problems and concerns

  • Verify the accuracy of diagnosis information submitted on claims/encounters for the purposes of risk adjustment

  • Triage assignments based on urgency, utilizing your knowledge to ensure escalation when necessary

    Role Essentials

  • Certified Professional Coder Certification (AAPC)

  • Extensive travel outside the office is required and a valid driver’s license is required. Travel could be up to 50%

  • Must have reliable transportation with valid driver’s license and insurance

  • Strong written and verbal communication skills; strong work analytical, organizational and time management skills are required

  • Professional demeanor and appearance, strong work ethic, reliable, resourceful, enthusiastic, team player with a positive attitude

  • Comprehensive knowledge of Microsoft Word and Exceland Access Role Desirables

  • Bachelor’s Degree in Business or a related field

  • Prior Coding experience, preferably in a medical office

  • Extensive knowledge of multiple types of Current Procedural Terminology and Healthcare Common Procedure coding systems

  • Knowledge and experience in a health care environment/managed care 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: Medical Coder/Educator

Location: KY-Louisville

Requisition ID: 177537