Certified Medical Coder

Certified Medical Coder

This is not a remote position. This position is on site. Become a part of our caring community.

As Certified Medical Coder you will be accountable for timely, accurately coding and filing claims to minimize the number of claim rejections and denials.

Location: CenterWell Senior Primary Care office address: Multiple locations, The Villages, FL

Certified Medical Coder Role Overview:

• Review medical records, provider notes, dictation and other documentation and compare to the actual codes selected by the provider. In accordance with correct coding guidelines, correct codes and notify provider as needed.
• Utilize ICD9/ICD10 to code diagnosis and determine principal and significant secondary diagnoses.
• Utilize CPT/HPCS to assign and sequence all codes for services rendered.
• Provide education and teaching to providers and clinical assistants as needed related to properly coding encounters (CPT, ICD-10 and HCC) and compliance with medical record documentation.
• Review all FFS and UHC MA notes from encounters from prior day.
• Review diagnosis codes to ensure that the codes are specific to clinical documentation properly.
• Ensure that claims are accurate and clean before submission utilizing appropriate coding tools.
• Resolve coding issues in the Athena Workflow Dashboard "Hold" cues as well as the Assigned Claim Worklists. Collaborate with provider to obtain codes/information necessary to submit claims.
• Review assigned providers upcoming schedules to identify M.A. patients. Audit M.A. patient chart for any HCC diagnoses (retrospective, prospective or suspected) that need to be brought forward to the provider to validate and subsequently address.
• Conduct chart audits and coding reviews to ensure all documentation is accurate and precise in accordance with correct coding guidelines.

Use your skills to make an impact

Additional Information Required:

• High school diploma or equivalent
• CPC, CCS, or CCA
• 2 years medical coding experience
• Experience in interpreting medical records; electronic and paper
• Experience in interacting with physicians regarding coding requirements

Preferred:

• College coursework preferred
• IV Certification
• CRC

Working hours: Monday to Friday Scheduled 40 hours per week

Hiring Event:

• Friday, June 19th from 9:30 AM to 1:30 PM at CenterWell Administrative Office (6503 Powell Road, The Villages, FL 32163) RSVP's are encouraged through Eventbrite at https://bit.ly/4eOCmnh

Benefits:

• Blue Cross and Blue Shield Health benefits
• Dental and vision benefits
• Matching Health Savings Account (HSA)
• Life insurance and short-term & long-term disability
• Paid time off, holidays, and jury duty pay
• 401(k) retirement savings plan with employer match
• And much more

Scheduled Weekly Hours 40 Salary is commensurate with experience. Note: A background screening will be required for candidates hired.

About Us:

About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.

Equal Opportunity Employer: It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.

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