Job Description

Description

Healthcare isn’t just about health anymore. It’s about caring for family, friends, finances, and personal life goals. It’s about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we’re seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole.

Responsibilities

Conviva Care Solutions is seeking a hard-working and dedicated Certified Professional Coder who is interested in being part of a team that focuses on excellent service to others. The Certified Professional Coder extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Certified Professional Coder confirms appropriate diagnosis related group (DRG) assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions are regarding the daily priorities for an administrative work group and/or external vendors.

 

Center Address: Conviva Care Center Lakeland, 3655 Innovation Drive, Lakeland, FL 33812

This position works a Hybrid Work Schedule:

 

Job Functions:

• Uses practical knowledge and understanding of industry nomenclature; medical and procedural terminology; anatomy and physiology; pharmacology; and disease processes.

• Codes diagnosis and procedures using classification coding systems.

• Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles.

• Applies coding guidelines and conventions including proper sequencing of codes.

• Communicates a thought, idea or fact in spoken and/or written form in a clear, concise and objective manner.

• Abides by the Code of Ethics of professional health information management/coding organizations.

Required Qualifications:

• CCA, CCS, CPC, or CPC-A credential from AAPC or AHIMA

• Knowledge of billing practices and clinic procedures

• Knowledge of coding and clinic operating policies

• Knowledge of coding guidelines

• Must be able to assist providers and to attend meetings on as needed basis.

• Proficient in CPT-4, ICD-9 and ICD-10 coding.

• Must be able to travel to Tampa area centers for F2F provider visits 10-20 %. (Tampa area market which includes Polk, Pasco, Hillsborough and Pinellas Counties.)

Preferred Qualifications:

• Associate degree

• Bilingual, English/Spanish

• Risk adjustment experience.

• 2+ years of experience as a certified medical Coder

Schedule: Monday - Friday form 8:00 am to 5:00 pm

** PLEASE SUBMIT A COPY OF YOUR RESUME and YOUR AAPC or AHIMA CERTIFICATION CARD WITH EXPIRATION DATE **

Interview Format:

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire Text to enhance our hiring and decision-making ability. Modern Hire Text allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Modern Hire text interview. In this interview, you will read to a set of interview questions and you will provide text responses to each question. You should anticipate this interview to take about 15 minutes. Your text interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Alert:

Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from

Humana@myworkday.com

with instructions to add the information into the application at Humana’s secure website.

Benefits:

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

Health benefits effective day 1

Paid time off, holidays, volunteer time and jury duty pay

Recognition pay

401(k) retirement savings plan with employer match

Tuition assistance

Scholarships for eligible dependents

Parental and caregiver leave

Employee charity matching program

Network Resource Groups (NRGs)

Career development opportunities

#LI-MM1

#LI-Hybrid

Scheduled Weekly Hours

40

Job Tags

Holiday work, Travel, Flexible hours, Monday to Friday,

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