Code Edit Disputes Medical Coder

HumanPanorama

Remote, US
Base: $48,300 - $65,900 py; bonus/equity: not spec...
Hybrid
Medical coding expertise
Problem-solve complex coding issues
Medicare and medicaid guidelines
The Code Edit Disputes team reviews and educates providers on code editing related denials or financial recoveries for adjudicated claims

Job Summary

  • The Code Edit Disputes team reviews and educates providers on code editing related denials or financial recoveries for adjudicated claims.
  • This role involves extracting clinical information, assigning medical codes (ICD-10-CM, CPT), analyzing databases, and responding to internal requests for medical information.
  • Humana offers a remote opportunity with excellent professional development, continued education, and benefits supporting whole-person well-being.

Matching Summary

The Code Edit Disputes team reviews and educates providers on code editing related denials or financial recoveries for adjudicated claims.

Salary

Base: $48,300 - $65,900 per year; Bonus/Equity: Not specified; Benefits: Medical, dental, vision, 401(k), time off, disability, life insurance

Skills & Requirements

Must-have

  • Medical coding expertise
  • Problem-solve complex coding issues
  • Medicare and Medicaid guidelines
  • Fast-paced environment
  • Database manipulation

Nice-to-have

  • Passionate about consumer experiences
  • Production driven environment
  • Advanced administrative duties
  • Independent initiative and judgment

Key Requirements

  • AAPC CPC certification (no Apprentice)
  • Minimum 3 years' experience as Certified Medical Coder
  • Intermediate Microsoft Word, Excel, Outlook, Teams experience

Work Rights

Not specified

Tailored Resume

Cover Letter