Clinical Coding Director - Remote Position
About the Role
Humana is hiring a full-time Clinical Coding Director, Payment Integrity, working remotely from the United States. As a Clinical Coding Director, you will play a crucial role in overseeing the coding processes and ensuring compliance with industry standards. This is an exciting opportunity to lead a dedicated team and make a significant impact in the healthcare sector.
What You'll Do
- Lead and manage the Clinical Coding team to ensure accurate coding practices and adherence to regulatory guidelines.
- Develop and implement coding policies and procedures to enhance operational efficiency.
- Collaborate with cross-functional teams to improve payment integrity and reduce claim denials.
- Monitor coding quality and provide feedback and training to coding staff.
- Analyze coding trends and implement strategies to optimize revenue cycle management.
Requirements
- Minimum of 5 years of experience in clinical coding, with at least 3 years in a leadership role.
- Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
- Experience with payment integrity processes and healthcare reimbursement methodologies.
- Excellent communication and interpersonal skills.
- Certification in coding (e.g., CPC, CCS) is preferred.
Nice to Have
- Experience with electronic health record (EHR) systems.
- Familiarity with data analytics tools for coding performance assessment.
What We Offer
- Competitive salary range of $138,900 - $191,000.
- Comprehensive health benefits and wellness programs.
- Flexible work environment with remote work opportunities.
- Professional development and training programs.
- Supportive team culture focused on collaboration and innovation.
This Clinical Coding Director position at Humana offers a competitive salary and the opportunity to lead a dedicated team in a remote setting, making a significant impact in the healthcare industry.
Who Will Succeed Here
Proficient in ICD-10, CPT, and HCPCS coding systems with a strong understanding of coding compliance and healthcare reimbursement processes, enabling accurate oversight of coding practices.
Self-motivated with excellent remote leadership skills, able to effectively manage a distributed team while fostering a culture of accountability and continuous improvement in a virtual work environment.
Analytical mindset with experience in data analytics to assess coding accuracy and compliance, leveraging data-driven insights to enhance coding processes and address discrepancies.
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