Code Edit Disputes Medical Coder
HumanaSalary not specified
Full Time
Mid-level (3 to 4 years)
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Home Health, HospiceIndustries
Requirements
- High school diploma or equivalent; Associate or Bachelor’s degree in a healthcare-related field preferred
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required
- Minimum 3-5 years of progressive medical coding experience, preferably in home health, hospice, or related healthcare settings
- Strong knowledge of ICD-10, CPT, HCPCS coding guidelines, and regulatory compliance standards
- Excellent communication, problem-solving, and organizational skills
- Proficiency with electronic health records (EHR) and coding software systems
Responsibilities
- Review and validate medical codes assigned to diagnoses, procedures, and services to ensure accuracy and compliance with ICD-10, CPT, HCPCS, and other coding systems
- Provide expert coding guidance and support to clinicians and other departments, serving as a resource for complex coding questions
- Conduct coding audits and quality reviews to identify discrepancies and ensure adherence to regulatory guidelines
- Generate and analyze coding productivity reports
- Collaborate with IT and billing teams to resolve system issues impacting coding workflows
- Participate in organizational initiatives, training, and continuous improvement to better support the coding process
Skills
Key technologies and capabilities for this role
Questions & Answers
Common questions about this position
What is the compensation for the Coding Specialist role?
Compensation starts at $28/hour, depending on experience (DOE), and is open to discussion.
What benefits are offered for this position?
Benefits include Medical, Dental & Vision, Vacation, Sick & Holiday Paid Time Off, Mileage Reimbursement, Employee Assistance Program, Flexible Spending & Health Savings Accounts, Disability, Life and AD&D Insurance, and 401(K).
Is this a remote position or does it require office work?
This information is not specified in the job description.
What qualifications and skills are required for the Coding Specialist role?
Required qualifications include a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification, 3-5 years of medical coding experience (preferably in home health or hospice), strong knowledge of ICD-10, CPT, HCPCS guidelines, and proficiency with EHR and coding software. Excellent communication, problem-solving, and organizational skills are also needed.
What is the company culture like at Mission Healthcare?
Mission Healthcare fosters a culture of collaboration, compassion, and commitment, guided by core values of Compassion, Accountability, Respect, Excellence, and Service (CARES). They emphasize an inclusive workplace where diversity is valued, equity is promoted, and every employee feels respected and empowered.
Mission Healthcare
Provides home-based healthcare services
About Mission Healthcare
Mission Healthcare provides home-based healthcare services, including home health, home care, and hospice care. Their services cater to patients who prefer receiving medical care at home, such as those recovering from surgery, individuals with chronic illnesses, and patients needing end-of-life care. The company operates through a network of eight operating companies that work closely with insurance providers, physician groups, and hospitals to ensure effective patient care. This collaboration allows Mission Healthcare to offer a wide range of services tailored to individual needs. Unlike many competitors, Mission Healthcare emphasizes personalized, high-quality care, which fosters strong relationships with clients and supports its financial stability. The goal of Mission Healthcare is to deliver exceptional patient-centered care that improves health outcomes for individuals in the comfort of their own homes.
San Diego, CaliforniaHeadquarters
2009Year Founded
GROWTH_EQUITY_VCCompany Stage
HealthcareIndustries
201-500Employees