Consultative Coding Professional

Become a part of our caring community and help us put health first
 

The Consultative Coder provides medical coding expertise to support clinical staff (Physicians and Advanced Practice Providers) to ensure the documentation within medical records supports diagnostic and procedural coding. We consider this a hybrid-remote role with 50% travel to local clinics.

Candidate must reside in Corpus Christi, TX

Responsibilities:

• You will cultivate relationships with clinicians to serve as the single contact for questions and issues relating to documentation and coding.

• You will identify documentation improvement areas and partner with clinical and coding education to deliver education related to improvement opportunities.

• You will perform Quality Assurance on post-visit reviews.

• You will manage the special handling of Mergers & Acquisitions by performing problem list cleanup and conducting process training on documentation requirements.

• You will collaborate with HEDIS leaders and champions to identify HEDIS gaps and deficiencies.

Required:

• 3 or more years of technical Medical Coding experience or similar (including IPA and Offshore coding management)

• RHIA, RHIT, CCS, or CPC Certification

• Must reside in Corpus Christi, TX

• Will travel 50% to assigned clinics

• Proficient in MS Office Suite and Zoom/Teams

• Must be comfortable presenting on camera

Other:

• Experience with Optum Encoder or AthenaOne EMR

• CRC or CDEO

• Comfortable with public speaking

Use your skills to make an impact
 

Alert

Humana values personal identity protection. Please be aware that we may ask applicants to provide their Social Security Number if we do not already have it on file. Humana will send an email from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.

 

Interview Format – HireVue

As part of our hiring process for this opportunity, we will use interviewing technology called HireVue to enhance our hiring. HireVue allows us to quickly connect and gain valuable information from you about your relevant experience at a time that is best for your schedule.

#LI-JM3

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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.

 

$59,300 - $80,900 per year

 

This 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 us
 

About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.

About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

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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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.