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Code Edit Disputes Medical Coder

Humana

The Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims involving a code-editing related denial or financial recovery.

The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. The role extracts clinical information from medical records, assigns appropriate procedural terminology and medical codes, analyzes and manipulates data, and responds to internal requests for medical information.

This is a remote position available anywhere in the U.S., with occasional travel to Humana offices for training or meetings if required.

Requirements & Qualifications
  • AAPC CPC certification required, with no apprentice status
  • Minimum 3 years of experience as a certified medical coder
  • Ability to problem-solve complex coding issues
  • Experience with Medicare and Medicaid coding guidelines
  • Strong data entry skills and attention to detail
  • Ability to manage multiple tasks in a fast-paced environment with competing priorities
  • Intermediate proficiency with Microsoft Word, Excel, Outlook, and Teams
  • Preferred: Bachelor's degree
  • Preferred: 5+ years of experience as a certified medical coder
  • Preferred: CPMA certification
  • Preferred: MS-DRG auditing or APR auditing experience
  • Preferred: Experience in a production-driven environment
Benefits & Perks
  • Remote work opportunity
  • Professional development and continuing education
  • Medical, dental, and vision insurance
  • 401(k) retirement savings plan
  • Paid time off and company/personal holidays
  • Paid parental and caregiver leave
  • Short-term and long-term disability
  • Life insurance
  • Additional wellness and employee support benefits

Location

N/A

Employment Type

Full-time

Experience Level

Intermediate Level

Salary Range

$48,300 - $65,900

Remote work allowed

Yes

Posted

3 weeks ago

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