Consultative Coder
The Consultative Coder provides medical coding expertise to support clinical staff (Physicians and Advanced Practice Providers) to ensure the documentation within medical records supports diagnostic and procedural coding. This is a hybrid-remote role where the majority of the work will be done from home; but the role will occasionally use Humana office space for collaboration and other face-to-face needs.
Candidate must reside in Las Vegas, NV.
Responsibilities:
- Cultivate relationships with clinicians to serve as the single contact for questions and issues relating to documentation and coding.
- Identify documentation improvement areas and partner with clinical and coding education to deliver education related to improvement opportunities.
- Perform Quality Assurance on post-visit reviews.
- Manage the special handling of Mergers & Acquisitions by performing problem list cleanup and conducting process training on documentation requirements.
- Collaborate with HEDIS leaders and champions to identify HEDIS gaps and deficiencies.
Required:
- 3 or more years of technical Medical Coding experience or similar (including IPA and Offshore coding management)
- RHIA, RHIT, CCS, or CPC Certification
- Must reside in Las Vegas, NV
- Will travel a min of 1 week a month to assigned clinics
- Proficient in MS Office Suite and Zoom/Teams
- Must be comfortable presenting on camera
Other:
- Experience with Optum Encoder or AthenaOne EMR
- CRC or CDEO
- Comfortable with public speaking