Medical Coding Coordinator 1

Humana Inc; United States; On-site; USD 40,000 - 52,000; Full time

Job summary

Humana Inc. is seeking a Medical Coding Coordinator to ensure accurate ICD-10-CM, CPT, and HCPCS coding and documentation review. You will review records, assign diagnoses and procedures, and support coding decisions for daily priorities across teams and vendors.

The role focuses on maintaining compliance with coding guidelines, supporting audits, and staying current with regulatory updates while collaborating with internal teams to improve documentation quality.

Qualifications

• Must hold CCS, CRC, or CPC certification.
• Experience with ICD-10-CM, CPT, HCPCS coding books.
• Proficient in Electronic Medical Records and chart review.

Responsibilities

• Review medical records to assign diagnosis and procedure codes.
• Apply ICD-10-CM, CPT, HCPCS coding systems per official guidelines and company standards.
• Ensure coding accuracy, completeness and regulatory compliance.
• Analyze, enter, update, and maintain coding-related information in internal systems.
• Respond to internal requests for medical information and documentation-related questions.
• Identify missing or unclear documentation and escalate issues as needed.
• Support audits, quality reviews, and coding validation activities.
• Maintain productivity and quality for assigned coding work.
• Stay current on coding updates and regulatory changes.
• Collaborate with internal teams to support accurate documentation and coding outcomes.

Skills

CCS/CPC/CRC

ICD-10-CM coding

CPT/HCPCS coding

EMR proficiency

Chart review

Job description

Become a part of our caring community The Medical Coding Coordinator confirms appropriate diagnosis related to the appropriate Outpatient CPT and ICD-10 code assignments. As a Medical Coding Coordinator, 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 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 escape 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
• Multi – Specialty experience

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

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 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 atCenterWell.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. 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.