Humana

Humana.

  • Arizona

    Colorado


  • Long-term.

  • Full-time.

Description

Our search is concentrated on determining a qualified coder who will mostly be accountable for performing potential and concurrent evaluations to recognize paperwork enhancement chances according to CMS and ICD-10 threat modification coding standards. In this function you will be working collaboratively with companies, coder, and/or workplace personnel carrying out coding and evaluation onsite. Part of the task will be likewise taking ownership of Medicare threat modification programs that fit finest with designated service providers by carrying out functional and medical finest practices in the threat modification approach, comprehending scientific suspects and suitable medical documents and precise coding. Prospect MUST reside in AZ, CO or NM and work will need 50% travel.

Responsibilities

Key Role Objectives/Responsibilities

  • Provide instructions and offer assistance on coding finest practices
  • Responsible for recognizing the effect of paperwork and coding on
  • Evaluate the aspect of the medical record for medical diagnosis code choice
  • Educate doctor, coder and/or workplace personnel about the threat change design, paperwork and coding
  • Improve the practice’s paperwork and coding precision and assist the practice embrace more effective and efficient procedures
  • Create a long-lasting, self-sufficient service for the doctor’s practice
  • Assist doctor to record properly and code to the greatest level of uniqueness in order to catch a member’s real health status at the time of care
  • Query companies to acquire extra medical record paperwork or to clarify paperwork to make sure precise and suitable coding
  • Perform chart evaluation and recognize formerly accepted/undocumented conditions to properly report client’s real health status
  • Demonstrate analytical and analytical capability with regard to barriers in getting and verifying precise HCC details, and have the ability to interact findings plainly and concisely, orally and in composing
  • Take duty and ownership of coding jobs as designated. Deal with other employee and guarantee conclusion with suitable speed and anticipated precision
  • Responsible for sharing understanding of concerns with monitoring lead
  • Develop an extensive understanding of Humana’s danger modification programs and the resources needed for effective application
  • Develop and use eager insight of our suppliers and our KPIs, and have the ability to tactically evaluate where enhancements can be made in the most efficient method with offered resources
  • Perform analysis of efficiency signs and creates an official discussion for reporting out to suppliers on a routinely set up basis
  • Provide quantifiable, actionable services to companies that will lead to enhanced precision of paperwork and coding, and adoption of finest practices
  • Build a strong collective relationship with our internal partners to set the phase for effective engagement of our supplier groups
  • Successfully carry out determined strategy to successfully affect threat modification due dates and report on development routinely
  • Monitor KPIs through analytics and recognize companies for Medicare Risk Adjustment training, programs and documentation/coding resources
  • Cultivate efficient collaborations in a matrix environment of coding teachers, medical director, scientific and market operations
  • Performs other appropriate responsibilities considered required to attain department and company-wide

objectives

Required Qualifications:

  • Must live in CO, NM, or AZ
  • 2 years coding evaluation experience
  • Interpersonal abilities
  • Effective interaction, listening and professionalism
  • Problem-solving and team-building abilities
  • Self-management, duty and responsibility
  • Attention to information
  • Strong analytical abilities
  • Proficient in making use of MS Office
  • Knowledge of EMR for evaluating records
  • Experience in service provider setting
  • CPC accreditation is needed
  • We will need

for this task as we are a health care business dedicated to putting health and wellness initially for our members, clients, partners and the neighborhoods we serve. If advanced to use, you will be needed to supply evidence of complete vaccination or documents for a medical or spiritual exemption factor to consider where permitted by law. Ask for these exemptions ought to be sent a minimum of 2 week prior to your set up very first day of work.

  • Certifications listed below is a plus:
  • CPCI (Certified Professional Coder-Instructor)
  • CPMA (Certified Professional Medical Auditor)
  • HIM (Health Information Management)
  • CCS (Certified Coding Specialist)
  • CCS-P (Certified Coding Specialist-Physician)
  • RHIT (Registered Health Information Technician)
  • RHIA (Registered Health Information Administrator)
  • Billing accreditation

Preferred Qualifications:

  • Bachelor’s Degree

Additional Information

Scheduled Weekly Hours

40.

Humana.

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