Humana
Orange City, IA
IPA Consultative Coding Professional The IPA Consultative Coding Professional provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates nationwide. As the primary coding and documentation resource for assigned providers, the role ensures accuracy, compliance, and performance in risk adjustment and value‑based care initiatives.
Location Orange City, FL 32763
Key Responsibilities Act as the primary contact for assigned IPA providers for all coding and documentation‑related inquiries.
Build consultative relationships with providers to support continuous improvement in coding accuracy and documentation practices.
Deliver targeted education based on provider‑specific trends and opportunities identified through chart reviews and coding analytics.
Conduct quarterly chart reviews for assigned providers to evaluate coding accuracy, documentation integrity, and risk capture opportunities.
Develop and deliver comprehensive education...