| 
Description
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.
Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies, with approximately 11.3 million medical members. 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.
Over its 46-year history, Humana has consistently seized opportunities to meet changing customer needs. Today, the company is a leader in consumer engagement, providing guidance that leads to lower costs and a better health plan experience throughout its diversified customer portfolio.
Role: Medical Coding Supervisor
assignment: Medicare Risk Adjustment
Location: Chicago, IL
Are You a Fit?
Are you an experienced team leader? Are you a certified coder? Do you have experience in the healthcare industry? If so, read on!
Assignment Capsule:
The role of the Medical Coding Supervisor is to lead a team of certified medical coders in the identification, collection, and assessment of claim and encounter coding information as it pertains to CMS hierarchical Condition Categories. This is a hands on supervisory role requiring excellent leadership, management and operational skills. This role also services to train, educate and serve as a resource to providers, office staff, internal and external customers regarding Medicare Risk Adjustment.
- Provides exemplary service to ensure success in a rapidly changing health care environment.
- Leads a team of certified medical coders in the assessment, collection and reporting of medical records and diagnosis coding information for the purpose of risk adjustment
- Analyzes reports to accurately identify members and providers appropriate for chart review
- Verifies and ensures the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered
- Tracks and monitors submission and acceptance of coding information
- Reviews medical record information to identify all appropriate coding based on CMS HCC categories
- Completes appropriate reporting/paperwork/documentation/system entry regarding claim/encounter information
- Demonstrates analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information
- Provides training and education and serve as a resource to internal and external customers regarding MRA
- Supports and participates in process and quality improvement initiatives
Key Competencies:
- Communication: Maintains mutual respect and ensures mutual understanding. Exercises active listening skills: Inquires about, identifies and understands the needs and perspectives of others. Understands the audience and tailors delivery accordingly; shares information appropriately. Presents information and/or recommendations verbally, graphically and/or in writing.
- Problem Solving:Proactively identifies and evaluates problems. Identifies appropriate subject matter experts and other information resources to resolve problems. Collects, analyzes and draws conclusions from information. Leverages appropriate problem-solving/analysis tools and/or steps. Differentiates between symptoms and root cause - effectively handles resolution or hand-off of both components.
- Engaging Associates: Builds a cohesive team by establishing clear direction, goals and responsibilities. Supports the teams success by providing necessary resources and breaking down barriers. Creates an environment that fosters motivation and builds commitment. Delegates responsibility, enabling latitude in specific course of action toward goals. Establishes multi-directional communication channels to solicit and utilize feedback, ideas and suggestions of all associates. Promotes associate value though respect and a
Apply Here
Be the first to comment on this listing!