Remote Medical Coding Coordinator - Disputes & Edits

Humana; Raleigh (NC); Remote; USD 48,000 - 66,000; Full time

Job summary

Humana, Inc. is seeking a Medical Coding Coordinator for a remote role across the United States.

The position involves extracting clinical information, assigning procedural terminology (ICD-10-CM, CPT) to patient records, and handling administrative tasks with independent judgment. Ideal candidates hold AAPC CPC, have at least 3 years of coding experience, familiarity with Medicare/Medicaid guidelines, and proficient in Word, Excel, Outlook, and Teams.

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 skills with the ability to manage multiple tasks in a fast-paced setting with competing priorities
• Intermediate experience with Microsoft Word and Excel, Outlook, and Teams

Responsibilities

• Extract clinical information from medical records and assign appropriate procedural terminology and medical codes (ICD-10-CM, CPT) to patient records
• Analyze, enter, and manipulate database information
• Respond to or clarify internal requests for medical information
• Exercise discretion and judgment in prioritizing requests and interpreting procedures, under limited guidance

Skills

CPC Certification

Problem solving

Data entry

MS Word

MS Excel

Outlook

Teams

Education

Bachelor's Degree

Tools

Medicare/Medicaid guidelines

Job description

Humana, Inc. is seeking a Medical Coding Coordinator for a remote role across the United States.

The position involves extracting clinical information, assigning procedural terminology (ICD-10-CM, CPT) to patient records, and handling administrative tasks with independent judgment. Ideal candidates hold AAPC CPC, have at least 3 years of coding experience, familiarity with Medicare/Medicaid guidelines, and proficient in Word, Excel, Outlook, and Teams.