Humana Clinical Coder Analyst in Louisville, Kentucky

Role: Clinical Coder Analyst

Assignment: CCM

Location: Louisville, KY (Waterside Building)

Healthcare is not just about health anymore. It is about caring for family, friends, finances, and personal life goals. It is about living life fully. At 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 Humana, we are seeking innovative people who want to make positive changes in their lives, the lives of our members, and the healthcare industry as a whole.

Assignment Capsule:

The Clinical Coder Analyst position provides expert coding auditing for various levels of care in an outpatient ER setting

• Performs outpatient reviews

• Utilizes encoders and various coding resources

• Conducts audits to ensure compliance with coding guidelines and provides reports as needed

• Maintains strict patient and physician confidentiality and follows all federal, state and hospital guidelines for release of information

Maintains current working knowledge of ICD-10 coding principles, government regulation, protocols

Role Essentials

  • Certified Medical Coder with at least one of the following credentials: CPC, CCS, RHIA, RHIT

  • High school diploma

  • 3 years prior coding experience

  • Facility Emergency Department E/M coding experience

  • Outpatient auditing experience

  • Demonstrated ability to exercise solid judgment and discretion in handling and disseminating information

  • Ability to work independently and manage work load

  • Comfortable working in a production based work environment

  • Knowledge and experience in the health care environment/managed care

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

  • Strong knowledge of Microsoft Office products (Word, Excel)

  • Strong knowledge of CPT/HCPS coding

Role Desirables

  • 5 years prior coding experience

  • Experience in prospective payment methodologies

  • 3M Coder/EncoderPro experience

  • Bachelor’s Degree

Reporting Relationships You will report to a Business Consultant. This area is under the leadership of the SVP & Chief Operating Officer

Additional Information 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: Clinical Coder Analyst

Location: KY-Louisville

Requisition ID: 190418

Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. We also provide free language interpreter services. See our full accessibility rights information and language options.