Consultative Coder & Documentation Educator

Humana Inc; Town of Texas (WI); On-site; USD 59,000 - 81,000; Full time

Benefits offered by this job

Bonus incentive plan

Job summary

Humana Inc. is seeking an IPA Consultative Coder to collaborate with providers and clinic teams to enhance documentation accuracy and coding effectiveness.

You will deliver coding and documentation education within IPA clinics, serve as a consultative resource, and perform quarterly chart reviews to support accuracy and completeness. This full-time role requires 40 hours weekly and a willingness to work in assigned markets within Wisconsin.

Qualifications

• 3+ years of risk adjustment medical coding experience.
• CCS, CRC or CPC certification required.
• Must live within 50 miles of assigned market.

Responsibilities

• You will deliver coding and documentation education to providers and clinic staff within IPA clinics.
• You will be a consultative resource and ongoing support for providers in assigned clinics.
• You will conduct documentation audits to identify gaps, trends, and opportunities for improvement.
• You will perform quarterly chart reviews to support coding accuracy and documentation completeness.

Skills

Risk adjustment coding

CCS Certification

CRC Certification

CPC Certification

Value-based care familiarity

Job description

Humana Inc. is seeking an IPA Consultative Coder to collaborate with providers and clinic teams to enhance documentation accuracy and coding effectiveness.

You will deliver coding and documentation education within IPA clinics, serve as a consultative resource, and perform quarterly chart reviews to support accuracy and completeness. This full-time role requires 40 hours weekly and a willingness to work in assigned markets within Wisconsin.