Humana

Humana Inpatient Medical Coding Auditor in Pierre , South Dakota Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Responsibilities The Medical Coding Auditor confirms appropriate diagnosis related group (DRG) assignments. This position will be a business partner with Resolution working Appeals from a clinical perspective to collaboratively complete appeal cases utilizing DRG knowledge. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established...

Description CenterWell represents our payer-agnostic healthcare services for senior primary care, home health and pharmacy. Launched in spring 2021, CenterWell creates experiences that provide patients with ease, comprehensive care and a personal approach. By placing each patient at the center — focusing on their unique needs and personalizing the care we deliver to them — we can help them lead happier, healthier lives. CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. It is part of Humana’s Primary Care Organization, which is the nation’s largest provider of value-based, senior-focused primary care. More about CenterWell Senior Primary Care: More than 85 locations, which are part of the 235 senior primary care centers operated by Humana’s Primary Care Organization. Integrated care teams that include physicians, nurse...

Description CenterWell™ represents our payer-agnostic healthcare services for senior primary care, home health and pharmacy. Launched in spring 2021, CenterWell creates experiences that provide patients with ease, comprehensive care and a personal approach. By placing each patient at the center — focusing on their unique needs and personalizing the care we deliver to them — we can help them lead happier, healthier lives. CenterWell Senior Primary Care™ provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. It is part of Humana’s Primary Care Organization, which is the nation’s largest provider of value-based, senior-focused primary care. More about CenterWell Senior Primary Care: More than 85 locations, which are part of the 235 senior primary care centers operated by Humana’s Primary Care Organization. Integrated care teams that include physicians, nurse...