Remote Clinical Coding Liaison & QA Specialist

Humana Inc; Nevada (IA); Hybrid; USD 59,000 - 81,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) retirement savings plan

Paid time off

Disability insurance

Life insurance

Other opportunities

Job summary

Humana Inc. is seeking a remote Medical Coder with strong documentation and coding expertise to serve as the primary liaison for clinicians.

The role focuses on improving documentation quality and partnering with education teams to drive improvement opportunities. Responsibilities include QA on post-visit reviews, overseeing Mergers & Acquisitions documentation handling, and partnering with HEDIS leaders to close gaps.

Qualifications

• 3+ years of technical medical coding experience or similar (including IPA and Offshore coding management).
• RHIA, RHIT, CCS, or CPC Certification.
• Must reside in the Las Vegas, NV area.
• Ability to travel a minimum of 1 week/month to assigned clinics.
• Proficient in MS Office Suite and Zoom/Teams.
• Must be comfortable presenting on camera and with public speaking.

Responsibilities

• You will cultivate relationships with clinicians to serve as the single contact for questions and issues relating to documentation and coding.
• You will identify documentation improvement areas and partner with clinical and coding education to deliver education related to improvement opportunities.
• You will perform Quality Assurance on post-visit reviews.
• You will manage the special handling of Mergers & Acquisitions by performing problem list cleanup and conducting process training on documentation requirements.
• You will collaborate with HEDIS leaders and champions to identify HEDIS gaps and deficiencies.

Skills

Medical coding

Public speaking

MS Office

Travel readiness

Education

RHIA, RHIT, CCS, or CPC Certification

Tools

Optum Encoder

AthenaOne EMR

Job description

Humana Inc. is seeking a remote Medical Coder with strong documentation and coding expertise to serve as the primary liaison for clinicians.

The role focuses on improving documentation quality and partnering with education teams to drive improvement opportunities. Responsibilities include QA on post-visit reviews, overseeing Mergers & Acquisitions documentation handling, and partnering with HEDIS leaders to close gaps.