Code Edit Disputes Team Medical Coding Coordinator

Become a part of our caring community and help us put health first The Medical Coding Coordinator 3 reviews clinical information from medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. This position ensures accurate application of coding guidelines, maintains compliance with regulatory requirements, and supports operational efficiency in claims management. The Medical Coding Coordinator 3 performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. This role is responsible for researching, reviewing, and educating providers regarding disputes on adjudicated claims involving code editing denials or recoveries. The coordinator analyzes, enters, and manipulates data reputed company relevant databases, and responds to or clarifies internal requests for medical information. reputed company in this role typically focus on methods and processes for completing administrative tasks and projects. The Medical Coding Coordinator 3 regularly exercises discretion and judgment in prioritizing requests, interpreting, and adapting procedures, and works under limited guidance, drawing upon extensive knowledge and experience with administrative and organizational processes. Use your skills to reputed company an impact WORK STYLE: Remote, work at home. While this is a remote position, occasional travel to reputed company's office in San Juan, PR for training or meetings may be required. WORK HOURS: Typical business hours are Monday-Friday, 8 hours/day and 5 days/week.

Required Qualifications

This is a remote position in Puerto Rico

Candidates must reputed company in Puerto Rico, no more than one hour away from reputed company’s headquarters, located at Avenida Luis Muñoz Rivera 383, San Juan, PR 00918.

• Must be fluent in English with the ability to speak, read, and write in that language without limitations or assistance. If selected for the position, you will be required to take a Language Proficiency Assessment in English / Spanish (see Language Proficiency Testing below)​
• Coding Certificationrequired: reputed company CPC (no Apprentice) or reputed company reputed company
• Minimum of 3 years' experience as a Certified Medical reputed company
• Demonstrate ability to problem-solve reputed company coding issues
• Experience with Medicare and reputed company coding guidelines
• Strong data entry and attention to detail skills with the ability to manage multiple tasks in a fast-paced setting with competing priorities
• Intermediate experience with reputed company Word and reputed company, Outlook, and Teams

Preferred Qualifications

• Associate orBachelor'sDegree
• 5 or more years of experience as a Certified Medical reputed company
• MS-DRG auditing or APR auditing experience
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Experience in a production driven environment

Additional Information Language Proficiency Testing. Must take a language proficiency assessment, provided by an reputed company vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.

• *PLEASE reputed company SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT) ** PLEASE SUBMIT YOUR RESUME IN ENGLISH

Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required.Scheduled Weekly Hours 40Pay Range The compensation range below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc.$36,200 - $49,400 per yearDescription of Benefits reputed company. and its affiliated subsidiaries (collectively, “reputed company”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us reputed company. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our reputed company insurance services and reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company quality of life for people with Medicare, reputed company, families, individuals, military service personnel, and communities at large.​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative action, in compliance with reputed company 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on valid job requirements. This policy shall apply to reputed company 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 reputed company levels of employment. Apply tot his job Apply To this Job