Medical Coding Coordinator - ICD-10/CPT Specialist

humana; The Villages (FL); On-site; USD 40,000 - 52,000; Full time

Job summary

Humana is seeking a Medical Coding Coordinator to validate diagnosis codes and ensure accurate Outpatient CPT and ICD-10 coding. You will oversee coding activities within an administrative team and coordinate with external vendors as needed.

The role emphasizes adherence to official guidelines, ongoing education on coding updates, and collaboration with internal teams to ensure compliant documentation and coding outcomes. Includes TB screening participation and full-time scheduling.

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.

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 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.

Skills

ICD-10-CM knowledge

CPT/HCPCS knowledge

Medical coding experience

Attention to detail

Tools

Electronic Medical Records (EMR)

Job description

Humana is seeking a Medical Coding Coordinator to validate diagnosis codes and ensure accurate Outpatient CPT and ICD-10 coding. You will oversee coding activities within an administrative team and coordinate with external vendors as needed.

The role emphasizes adherence to official guidelines, ongoing education on coding updates, and collaboration with internal teams to ensure compliant documentation and coding outcomes. Includes TB screening participation and full-time scheduling.