Medical Coding Coordinator

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

Benefits offered by this job

Medical Benefits

Dental & Vision Benefits

401(k) Plan

Paid Time Off

Parental Leave

Job summary

Humana is seeking a Medical Coder to assign DRG-related codes and provide coding expertise for accurate documentation and review. The role covers ICD-10-CM, CPT, HCPCS coding aligned to guidelines, and ongoing collaboration with internal and external teams.

The position includes a TB screening requirement and a 40-hour work week. Opportunities exist to support audits and maintain high-quality coding in a patient-facing environment as part of Humana’s CenterWell Senior Primary Care network.

Qualifications

• Must be certified at least one of CCS, CRC, or CPC.
• Recent graduates with coding experience are encouraged to apply.
• Experience using ICD-10-CM, CPT, HCPCS and other coding books.

Responsibilities

• Review medical records and related sources to assign diagnosis and procedure codes.
• Apply ICD-10-CM, CPT, HCPCS per guidelines and company standards.
• Ensure coding is accurate, complete, timely and compliant with requirements.
• Maintain coding information in internal databases and systems.
• Respond to internal requests for coding decisions and documentation questions.
• Identify missing or unclear documentation and escalate as needed.
• Support audits, quality reviews and coding validation activities.
• Maintain productivity and quality for assigned coding work.
• Stay current on coding updates and internal processes.
• Collaborate with internal teams to improve documentation and outcomes.

Skills

CCS

CRC

CPC

ICD-10-CM

CPT

HCPCS

EMR proficiency

Chart interpretation

Tools

EMR software

Job description

Become a part of our caring community

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 escalat[e] 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

Use your skills to make an impact

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

$40,000 - $52,300 per year

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, paid parental and caregiver leave), short-term and long-term disability, life insurance and 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 to take affirmative action, in compliance with