Humana
Chesapeake, VA
IPA Consultative Coding Professional Become a part of our caring community and help us put health first. The IPA Consultative Coding Professional provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates nationwide.
Responsibilities Primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value‑based care initiatives.
Analyze trends, triage, and answer queries in real‑time; research and interpret coding guidelines and internal business rules.
Panel management: up to 30 providers within a defined market or region, delivering ongoing education, supporting coding workflows, and ensuring agreement on documentation and coding standards.
Collaborate with STARS leaders and champions to identify gaps and deficiencies.
Conduct quarterly chart reviews to evaluate coding accuracy, documentation integrity, and risk capture opportunities.
Develop and deliver...