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From Home Humana Medical Coding Jobs in Virginia

Code Ninjas

Coding Instructor

Burke, VA · On-site

$11.50 - $15.25/hr

Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt. Our core promise is, Kids have fun ...

Code Ninjas

Coding Instructor

Mascot, VA · On-site

$12/hr

Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt. Our core promise is, Kids have fun ...

Code Ninjas

Coding Instructor

Burke, VA · On-site

$11.50 - $15.25/hr

Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt. Our core promise is, Kids have fun ...

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All JobsHumana Medical Coding JobsFrom Home Humana Medical Coding JobsFrom Home Humana Medical Coding Jobs in Virginia

From Home Humana Medical Coding information

What is a from home Humana medical coder?

A From Home Humana Medical Coder is a professional who works remotely for Humana, a health insurance company, reviewing clinical documents and assigning standardized codes to diagnoses and procedures for billing and insurance purposes. These coders ensure that medical records are accurately translated into codes used for claims processing and reimbursement. Working from home, they typically use specialized software to access records, interpret physician notes, and stay updated on coding guidelines. This role requires attention to detail, knowledge of coding systems like ICD-10 and CPT, and adherence to privacy regulations such as HIPAA.

What does a from home Humana medical coder do?

As a remote medical coder at Humana, your day typically involves reviewing clinical documentation, assigning appropriate codes for diagnoses and procedures, and ensuring compliance with regulatory standards. You’ll work independently but stay connected with your team through virtual meetings and messaging platforms. Regular collaboration with healthcare providers and auditing teams is common to clarify documentation or coding discrepancies. Time management and attention to detail are crucial, as you’ll be balancing productivity goals with accuracy requirements.

What are the key skills and qualifications needed to thrive as a from home Humana medical coder?

To thrive as a From Home Humana Medical Coder, you need a strong understanding of medical terminology, ICD-10 and CPT coding systems, and typically a certification such as CPC, CCS, or CRC. Proficiency with medical coding software, electronic health records (EHR) systems, and secure remote work platforms is essential. Attention to detail, time management, and effective communication skills help ensure accuracy and collaboration in a virtual environment. These skills and qualifications are vital to ensure compliant, accurate coding that directly impacts reimbursement, patient records, and overall healthcare operations.

What is the difference between From Home Humana Medical Coding vs From Home AAPC Medical Coding?

AspectFrom Home Humana Medical CodingFrom Home AAPC Medical Coding
CertificationsTypically requires CPC or CCS certificationsRequires CPC, CCS, or other AAPC certifications
Work EnvironmentRemote, home-based with HumanaRemote, home-based with various healthcare providers
Employer & IndustryHumana insurance companyMultiple healthcare organizations and insurance companies
Search & Comparison IntentPeople comparing specific employer rolesPeople seeking general medical coding roles or certifications

From Home Humana Medical Coding involves working remotely for Humana, focusing on their specific coding procedures and requirements. In contrast, From Home AAPC Medical Coding refers to general remote coding jobs across various employers that accept AAPC certifications. The main differences lie in the employer, specific job requirements, and industry focus, with both roles requiring similar certifications and offering remote work opportunities.

What are the most commonly searched types of Humana Medical Coding jobs in Virginia?

The most popular types of Humana Medical Coding jobs in Virginia are:

What are popular job titles related to From Home Humana Medical Coding jobs in Virginia?

For From Home Humana Medical Coding jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching From Home Humana Medical Coding jobs in Virginia look for?

The top searched job categories for From Home Humana Medical Coding jobs in Virginia are:

What cities in Virginia are hiring for From Home Humana Medical Coding jobs?

Cities in Virginia with the most From Home Humana Medical Coding job openings:

From Home Humana Medical Coding jobs near you

Provider Relations Representative, LTSS/BH

Humana

Tazewell, VA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Humana rating

8.0

Company rating: 8.0 out of 10

Based on 266 frontline employees who took The Breakroom Quiz

166th of 310 rated insurance

Job description

Become a part of our caring community
The Provider Relations Representative (Provider Engagement Professional) is responsible for day-to-day front line relationship management of network providers in Humana's Healthy Horizons in Virginia Medicaid network. This role supports provider onboarding, training, education, and inquiry/issue support resolution. This role specifically supports long-term services and supports (LTSS) and home and community-based services (HCBS) providers and must be based in Virginia. The individual in this role should have critical thinking/problem solving skills, understanding of health plan operations, and strong interpersonal skills.

Serve as primary relationship manager with assigned LTSS and HCBS providers to ensure positive provider experience with Humana Healthy Horizons and promote network retention

  • Meet regularly, both in person and virtually, with assigned providers to conduct training and education, including, but not limited to, required annual trainings, periodic updates to and/or reviews of Humana policies and procedures, and Humana systems training and updates

  • Support newly assigned providers with onboarding, including hosting orientation session(s)

  • Respond to assigned provider inquiries and support prompt issue resolution, including, where necessary, collaboration with appropriate enterprise business teams (ex., claims payment, prior authorizations & referrals)

  • Work with internal resources and systems (e.g., claims, reimbursement, provider enrollment) to provide Exceptional Experience in all provider interactions

  • Create provider trainings based on provider feedback, trends in claims or process changes

  • Educate provider on location and content of all provider facing materials (Orientation, Provider Manual, Newsletter, Program Updates, Etc.)

  • Convene regular meetings with providers, including organizing agendas, materials, meeting minutes, other team members (clinical, provider engagement), to discuss key operational, clinical, and quality related topics

  • Educate on processes including claims submissions, recoupments, reconsiderations, authorizations, referrals, medical record management, Availity, Quality resources, and member resources

  • Communicate updates on Humana's policies and procedures and Cardinal Care programmatic updates

  • Coordinate regional provider townhalls and/or trainings

  • Attend Network Meetings/Conferences

  • Ensure compliance with all Virginia managed care contractual requirements for provider relations, such as timeframes for claims dispute resolution, provider complaints, provider inquiry response, etc


Use your skills to make an impact
Required Qualifications

  • Must reside in Virginia (SW region includes, Lee, Wise, Washington and Galax)

  • Bachelors degree OR 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience

  • Proven planning, preparation and presenting skills, with established knowledge of reimbursement and bonus methodologies

  • Demonstrated ability to manage multiple projects and meet deadlines

Preferred Qualifications

  • Master's Degree

  • Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance

  • Comprehensive knowledge of Medicare policies, processes and procedures

  • Experience with Medicaid electronic visit verification (EVV)

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$59,300 - $80,900 per year


This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

What Humana employees say

Pay

Benefits

Hours and flexibility

Workplace

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About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

Social media

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