Medical Coder/Analyst

Medical Coder/Analyst
The role of the Medicare Risk Adjustment Coder is to identify, collect, assess, monitor and document claim and encounter coding information as it pertains to CMS hierarchical Condition Categories. In addition, this role serves to train, educate and serve as a resource to providers, office staff, as well as internal and external customers regarding MRA. Provides exemplary service to ensure success in a rapidly changing health care environment. This position reports to the Director of Medicare Risk Adjustment.
Responsibilities Include:
Assesses and monitors documentation and coding information submitted on claims/encounters for the purpose of risk adjustment
Verifies and ensures the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered
Reviews medical record information to identify all appropriate coding based on CMS HCC categories
Completes appropriate paperwork/documentation/system entry regarding claim/encounter information
Demonstrates analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information
Provides training and education and serve as a resource to internal and external customers regarding MRA
Supports and participates in process and quality improvement initiatives
REQUIREMENTS
Role Essentials:
Certified Medical Coder designation required (CPC, RHIT, etc). This position will primarily service the Minneapolis area but will also cover all of Minnesota if necessary. Extensive local/regional travel to provider offices is required. Must have reliable transportation.
Interested? Please apply online by visiting the Career Opportunities page at www.humana.com. The position is located under Requisition #7624.