Remote Medical Coding Coordinator – Disputes & Edits

Humana Inc; Honolulu (HI); On-site; USD 48,000 - 66,000; Full time

Job summary

Humana Inc. is seeking a Medical Coding Coordinator to review disputes on adjudicated claims and educate providers on coding corrections using ICD-10-CM and CPT.

The role involves extracting clinical information, coding patient records, and supporting administrative tasks with independent judgment. You will remotely collaborate across teams, respond to internal information requests, and manage multiple coding projects while adhering to Medicare and Medicaid guidelines.

Qualifications

• Coding Certification required: AAPC CPC (no Apprentice).
• Minimum of 3 years' experience as a Certified Medical Coder.
• Demonstrate ability to problem-solve complex coding issues.
• Experience with Medicare and Medicaid coding guidelines.
• Strong data entry and attention to detail with multiple tasks in a fast-paced setting.
• Intermediate experience with Microsoft Word, Excel, Outlook and Teams.

Responsibilities

• Extract clinical information and assign ICD-10-CM and CPT codes to records.
• Analyze, enter and manipulate data; respond to internal requests for information.
• Prioritize requests and adapt procedures with limited guidance.

Skills

Medical coding

CPC certification

Problem solving

Medicare/Medicaid coding

Data entry

Microsoft Office

Education

Bachelor's Degree

CPMA certification

MS-DRG/APR auditing

Tools

Microsoft Word

Excel

Outlook

Teams

Job description

Humana Inc. is seeking a Medical Coding Coordinator to review disputes on adjudicated claims and educate providers on coding corrections using ICD-10-CM and CPT.

The role involves extracting clinical information, coding patient records, and supporting administrative tasks with independent judgment. You will remotely collaborate across teams, respond to internal information requests, and manage multiple coding projects while adhering to Medicare and Medicaid guidelines.