Medical Coder

AAPC; Town of Florida (NY); On-site; USD 40,000 - 52,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off and holidays

Job summary

CenterWell Senior Primary Care seeks a Medical Coder to assign DRGs and codes, review documentation, and ensure accuracy and compliance in coding workflows. The role requires proficiency with ICD-10-CM, CPT, HCPCS and EMR systems, with a focus on accurate, timely coding.

The candidate will participate in audits, quality reviews, and documentation improvement efforts while staying current with coding updates and regulatory changes to support patient care and organizational standards.

Qualifications

• Review records to assign appropriate diagnosis and procedure codes.
• Apply ICD-10-CM, CPT, HCPCS in line with guidelines and standards.
• Ensure coding is accurate, complete, timely, and compliant with requirements.
• Read, interpret and code charts using EMR systems.
• Respond to internal requests for coding decisions and documentation questions.

Responsibilities

• Review medical records and related materials to assign correct codes.
• Maintain coding information in internal databases and systems.
• Support audits, quality reviews, and coding validation activities.
• Stay current on coding updates and internal process requirements.
• Collaborate with internal teams to support accurate documentation and coding outcomes.

Skills

Medical coding knowledge

Attention to detail

Regulatory compliance

Education

CCS/CRC/CPC certification

Tools

ICD-10-CM coding manuals

HCPCS coding books

CPT coding books

Job description

Medical Coder

The Medical Coder confirms appropriate diagnosis related group (DRG) assignments. As a Medical Coder, you will provide medical coding expertise and support for accurate code assignment and documentation review. Decisions are regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology.

Responsibilities

• Review medical records, clinical documentation, and related source materials to assign appropriate diagnosis and procedure codes
• Apply ICD-10-CM, CPT, HCPCS, and other applicable coding systems in accordance with official coding guidelines and company standards
• Ensure coding is accurate, complete, timely, and compliant with regulatory and organizational requirements
• Analyze, enter, update, and maintain coding-related information in internal databases and systems
• Respond to and clarify internal requests for medical information, coding decisions, and documentation-related questions
• Identify missing, inconsistent, or unclear documentation and elevate issues as appropriate
• Support audits, quality reviews, and coding validation activities
• Maintain productivity and quality expectations for assigned coding work
• Stay current on coding updates, regulatory changes, and internal process requirements
• Collaborate with internal teams to support accurate documentation and coding outcomes

Required Qualifications

• Must be certified at least one of the following: CCS, CRC, or CPC
• Recent graduates with coding experience are encouraged to apply
• Experience using ICD 10, HCPCS and CPT coding books
• Proficiency with Electronic Medical Records
• Experience reading, interpreting and coding charts

Preferred Qualifications

• 2+ years of experience as a certified medical coder

TB Statement:

This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

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.$40,000 - $52,300 per year

Description of Benefits

• medical, dental and vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance
• many other opportunities

About Us

About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.

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.