Job Opportunity at Humana

The position is a M-F office-based role with extensive travel required to local providers' offices. Humana reimburses for mileage. Interested parties should apply on-line at www.humana.com/careers to req ID # 24999. They can also contact me directly if they have questions. I have also attached a copy of our full-time benefit summary. Best regards, Carolyn C. RedleyCorporate RecruiterHumana-Guidance when you need it most!P: (623) 251-6188F: (502) 508-6666E: credley@humana.com

Role: Market Review Analyst - Certified Professional Coder
Location: Phoenix, AZ

Assignment Summary
The Market Review Analyst/Certified Professional Coder (CPC) is responsible for the review and analysis of patient medical records in Providers' offices. The Analyst ensures the records have been appropriately ICD-9 coded to the highest level of specificity in accordance with Medicare regulations. This role will include training and serving as a resource on coding appropriateness to providers, provider office staff, other MRA team members, and other corporate departments. The MRA Analyst works to provide exemplary service to ensure long term success in a rapidly changing environment. Duties include:
• Ensure appropriate claims and encounter data is submitted to CMS for Medicare Risk adjustment.
• Review/audit medical records to determine if specific disease conditions were overlooked in billing
• Communicate and document findings back to Provider offices as well as internally
• Conduct education and training for physician groups/offices to increase awareness and proficiency, and importance of accurate Medicare coding


Key Competencies
• Communication: You actively listen to others to understand their perspective and ensure continuous understanding regardless of communication channel or audience.
• Implementation/Execution: You are good at organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools.
• Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.

Role Essentials
• Coding certification (CPC or CCS) required
• ICD-9 coding experience/proficiency
• Minimum of 2 years healthcare or insurance experience
• Medical Record Review experience
• Must have dependable transportation and valid driver's license
• Strong computer skills including MS Office
• Strong presentation and relationship-building skills
• Must be highly organized


Role Desirables
• RHIT/RHIA certification desired

Additional Information
• This position requires extensive local travel

First Show in the New Art Building!

Check out the first exhibit in the Gallery of the Brand New Art Building! Artist's Reception on February 9th from 6pm to 9pm Featuring:

Farraday Newsome and Jeff Reich

Light Refreshments will be served.