Remote Medical Coding Specialist: Disputes & Edits

Humana Inc; Phoenix (AZ); On-site; USD 48,000 - 66,000; Full time

Job summary

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

The candidate will extract clinical information, assign medical codes (ICD-10-CM, CPT), and support internal requests while working with limited guidance based on experience. Requirements include CPC certification (AAPC) and at least 3 years of coding experience, with familiarity with Medicare/Medicaid guidelines, data entry, and Microsoft Office tools; Bachelor’s degree and CPMA are preferred.

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 (e.g., ICD-10-CM, CPT) to patient records.
• Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information.
• Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects.

Skills

Medical Coding

Problem-solving

Attention to detail

Data entry

Teamwork

Education

AAPC CPC Certification

Bachelor's Degree

CPMA certification

Tools

Microsoft Word

Excel

Outlook

Teams

Job description

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

The candidate will extract clinical information, assign medical codes (ICD-10-CM, CPT), and support internal requests while working with limited guidance based on experience. Requirements include CPC certification (AAPC) and at least 3 years of coding experience, with familiarity with Medicare/Medicaid guidelines, data entry, and Microsoft Office tools; Bachelor’s degree and CPMA are preferred.