Job description

The Medical Coder extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment.

The Medical Coder confirms appropriate diagnosis related group (DRG) assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions are regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals, and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology.

Benefits

Being a part of the CenterWell team gives you: We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k, tuition reimbursement, vacation, paid holidays, work-life balance, growth, a positive and fun culture and much more.

Hybrid Schedule: This is a Hybrid-Office position. Medical Coder will be expected to work on-site three days a week and from home 2 days a week.

Note: besides working at home-base center, there may be additional non-home centers in Houston that may require a coder to work on-site upon request. No traveling outside of Texas required.

Work Schedule: Monday through Friday, 7:30 am to 4:30 pm

Location Address: CenterWell Sunnyside Center: 9609 Cullen Blvd, Houston, TX 77051

Required Qualifications

• Must be able to work from onsite location 3 days a week and from home 2 days a week.
• Certified medical coder with Certification(s) from AAPC or AHIMA (e.g., CPC, CRC, CCS, or CCS-P).
• Expertise in ICD-10-CM and HCPCS
• Expertise in CPT, Category II, and/or E/M coding
• EMR experience (e.g., eCW, EPIC, etc.)
• Experience with MS office products
• Strong communication skills, written and verbal
• Strong team player and emotional intelligence
• Ability to make decisions based on independent thinking and business objectives

Preferred Qualifications

• Bachelor's Degree
• 5+ years of experience as a certified medical coder
• 2+ years of Risk Adjustment (HCC) coding knowledge/experience
• 1+ years of HEDIS knowledge/experience

Associates are required to be fully COVID vaccinated, including booster, or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home.

If progressed to offer, candidates will be required to:

• Provide proof of full vaccination, including booster OR
• Provide proof of applicable exemption including any required supporting documentation. Medical, religious, and state exemptions will be available,

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Supplemental pay types:

• Bonus pay

Ability to commute/relocate:

• Houston, TX 77051: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• "What is your desired salary? Please do not state negotiable, put a range you are comfortable with."

Experience:

• ICD-10: 1 year (Required)
• CPT, Category II, and/or E/M Coding: 1 year (Required)
• EMR: 1 year (Required)

License/Certification:

• certification from AAPC or AHIMA (Required)

Work Location: Hybrid remote in Houston, TX 77051

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