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Remote Humana Medical Coding Jobs in Ohio (NOW HIRING)

Coding Denial Specialist

Akron, OH · On-site +1

$18 - $23/hr

Full-time, 40 hours/week Monday-Friday 8am-4:30pm Remote Summary: The Denial Coding Specialist ... Experience working in an Electronic Medical Record system preferred * Experience in healthcare is ...

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Remote Humana Medical Coding information

What is the difference between Remote Humana Medical Coding vs Remote AAPC Medical Coding?

AspectRemote Humana Medical CodingRemote AAPC Medical Coding
CertificationsCPH, CPC, CCSCPC, CCS, CIC
Work EnvironmentRemote, healthcare insurance providerRemote, various healthcare settings
Employer & IndustryHumana, health insurance industryHospitals, clinics, insurance companies

Remote Humana Medical Coding and Remote AAPC Medical Coding both require certifications like CPC and CCS. While both roles are remote and involve medical coding, Remote Humana Medical Coders typically work directly for Humana within the health insurance industry, focusing on insurance claims and policy coding. In contrast, Remote AAPC Medical Coders may work across various healthcare providers and settings, including hospitals and clinics. Both roles demand strong coding skills and certification but differ mainly in employer and specific industry focus.

Is it easy to get a remote job as a medical coder?

Securing a remote medical coding job can be competitive, but having relevant certifications such as CPC and experience with coding software improves chances. Many employers value accuracy, attention to detail, and familiarity with medical records, making these important factors in the hiring process.

Will AI eventually replace medical coders?

Remote Humana Medical Coders perform detailed coding tasks that require understanding medical terminology and documentation, which AI tools can assist but not fully replace. AI is expected to augment coding processes by increasing efficiency and accuracy, but human oversight remains essential for complex cases and quality assurance. Coding professionals will need to adapt by developing skills in managing and validating AI-generated data.

Is it hard to get hired at Humana?

Getting hired as a remote medical coder at Humana can be competitive, as the company often seeks candidates with relevant certifications like CPC or CCS and prior coding experience. Strong attention to detail, knowledge of coding guidelines, and familiarity with coding software can improve your chances of being hired.

Is Humana a good company to work for remotely?

Remote medical coding positions at Humana are generally considered stable with flexible schedules and opportunities for professional growth. Employees often cite supportive management and a focus on work-life balance, though experiences can vary based on individual roles and departments.
What are the most commonly searched types of Humana Medical Coding jobs in Ohio? The most popular types of Humana Medical Coding jobs in Ohio are:
Medical Coding Specialist (remote)

Medical Coding Specialist (remote)

Southwoods Health

Boardman, OH • Remote

Full-time

Posted 19 days ago


Southwoods Health rating

6.3

Company rating: 6.3 out of 10

Based on 13 frontline employees who took The Breakroom Quiz


Job description

Medical Coding Specialist
Southwoods Health | Boardman, OH
Status: Full-Time | Setting: Fully Remote or Fully In-Office
Note: Remote employees must live within a commutable distance from Boardman, OH for initial training.
About the Role
Southwoods Health is seeking a skilled and detail-oriented Medical Coding Specialist. In this role, you will be responsible for the proper assignment of all CPT/HCPCS and ICD-10-CM diagnosis codes to ensure compliant coding across all assigned patient encounters.
Essential Duties
  • Chart Abstraction: Review and abstract evaluation and management (E/M) levels from specialty office or hospital documentation.
  • CPT Coding: Assign accurate CPT codes for surgeries, anesthesia, pain management, and radiology services as required.
  • Physician Queries: Coordinate physician queries within the Meditech system, or contact designated hospital representatives for non-Meditech provider locations.
  • Guidelines amp; Specificity: Apply a strong understanding of bundling concepts, CMS guidelines, and HCPCS codes to ensure accurate assignment based on Place of Service (POS). Assign ICD-10 codes to the highest level of specificity.
  • Payer Rules amp; Modifiers: Accurately append modifiers and adhere to distinct guidelines for specific payer groups, including Medicaid HMO and Medicare HMO networks.
  • Quality amp; Performance: Maintain a minimum 95% coding accuracy rate while consistently meeting established productivity standards.
  • Compliance Framework: Ensure all processes at assigned physician practices maintain strict compliance with all regulatory agencies.
  • Collaborative Support: Research coding inquiries independently, collaborate with supervisors, and perform other duties as assigned.
Qualifications
  • Current medical coding certification (CCS, CCA, CPC, RHIT, COC, ACA, or CIC)
  • Responsible for the proper assignment of all CPT/HCPCS and ICD-10-CM diagnosis codes to ensure compliant coding of documentation provided for physician’s offices, specialty offices, hospitalist rounding, in office procedures, other as assigned
  • At least one year in a healthcare setting, 10 or more years of coding experience will be accepted in lieu of a certificate
  • Good Communication skills
  • Working knowledge of Excel
  • Good Computer Skills
  • Strong ethical and moral character references
Why Southwoods?
At Southwoods, it's not just about the treatment, but how you're treated. Join an expanding, award-winning healthcare network that offers flexible work environments and values your specialized professional expertise. #SWH
Apply today at www.southwoodshealth.com.

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