Medical Coder- CPC or CCS a plus – Chicago

Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.

Role: Certified Medical Coder
Assignment: Medicare Risk Adjustment
Location: Chicago, IL

Are you a fit?
Are you a certified medical coder? Do you enjoy conducting medical chart review, coding and working with providers and office staff? If so, read on!

Assignment Capsule
The Medicare Risk Adjustment Analyst is a certified medical coder, responsible for the review and analysis of patient medical records. The Analyst ensures that appropriate ICD-9 coding has been submitted to the highest level of specificity in accordance with Medicare regulations.

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• Review a high volume of medical records to determine if specific disease conditions were overlooked in billing
  
• Ensure the accuracy, completeness, specificity and appropriateness of diagnosis information
  
• Ensure all data is appropriately documented and submitted to CMS for Medicare Risk adjustment.
  
• Complete appropriate paperwork/documentation/system entry regarding claim/encounter diagnosis information
  
• Demonstrates analytical and problem-solving ability regarding review of submitted diagnosis codes versus actual services provided to the patient
  
• Provides education and training for physician groups/offices and internal customers to increase awareness and proficiency, and importance of accurate Medicare coding

Key Competencies

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• Communication: You actively listen to others to understand their perspective and ensure continuous understanding regardless of communication channel or audience.
  
• Implementation/Execution: You are good at organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools.
  
• Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over

Role Essentials

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• Coding certification (CPC, CCS or similar) required
  
• ICD-9 coding experience/proficiency
  
• Minimum of 2 years healthcare or insurance experience preferred
  
• High school diploma or equivalent required - BA preferred
  
• Strong computer skills including MS Office XP products (Excel, Access, Word)
  
• Strong presentation and relationship-building skills/professional demeanor and appearance
  
• Strong work ethic, reliable, resourceful with enthusiastic attitude
  
• Strong written and verbal communication skills
  
• Ability to multi-task and manage time well
  
• Must be highly organized

Local and regional travel is required.
Must have dependable transportation and valid drivers license.

Role Desirables:
RHIT or clinical background in addition to coding certification desired

Reporting Relationships
You will report to the Frontline Lead, Medical Coding.

Apply Here