Medical Coding Specialist – Hialeah

Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.

CAC-Florida Medical Centers opened its doors to Miami-Dade County's Hispanic population in 1964 under the name Clinical Asociación Cubana. CAC-Florida Medical Centers holds the distinction of being Florida's first managed care facility granted a license to operate as a Health Maintenance Organization (HMO) as a result of the Congressional HMO Act of 1973. Today, the CAC brand is recognized throughout south Florida for its commitment to members of the communities it serves and the provision of quality, readily accessible health care.

CAC-Florida Medical Centers operate ten full service multi-specialty medical centers in Miami-Dade County and serve a culturally diverse patient base of Medicare and Medicaid beneficiaries.

Mission Statement
To improve the quality of life of our patients through accessible, comprehensive and quality health care provided in a warm and compassionate setting.

Vision Statement
To establish CAC as the leading medical group practice in the communities we serve, distinguished by the quality of our physicians and staff and our commitment to customer service.
Role: Analyst-Coder
Role Code: CL12KB
Market Title: Medical Coding Specialist/EncounterProcessor
Assignment:
Location: Medical Center

ARE YOU AFIT?
Are you detail oriented? Are you able to analyze physician progress notes to determine the accuracy of the coding and billing? Would you enjoy utilizing ICD-9, CPT-4 and HCPCS codes for reporting diagnosis and procedures?

ASSIGNMENT CAPSULE
Codes all medical services procedures (CPT-4) pharmaceuticals supplies, (HCPCS) and patients' diagnosis, symptoms, complaints, condition problem (ICD-9)

• Utilizes ICD-9, CPT-4 and HCPCS codes for reporting diagnosis and procedures.
  
• Ensures progress notes are coded accurately and to the maximum level of specificity following established coding guidelines.
  
• Ensure receipt of all progress notes, logs, walk-in notes, etc. at the end of the day.
  
• Works with physicians for coding accuracy.
  
• Runs outstanding encounter report daily to ensure all services have been coded and encounters have been properly closed.
  
• Informs administrator on issues pending in the outstanding encounter report that do not pertain to coding.
  
• Maintains administrator and Physician in Charge informed of coding issues
  
• Forwards FFS progress notes to FFS department
  
• Follows established policies & procedures
  
• Maintains up to date on new coding regulations

• Ability to understand, interpret and convey technical information.
  
• Able to respect and maintain patient confidentiality at all times.
  
• Excellent customer service and communication skills.
  
• Excellent analytical skills and must be able to follow procedures.
  
• Strong organizational skills and ability to multi-task effectively.
  
• Detail oriented and able to work efficiently in a stressful environment.
  
• Ability to examine insurance documents for accuracy and completeness.
  
• Ability to prepare insurance records in accordance with detailed instructions.
  
• Ability to take initiative, to work independently and make decisions effectively in a stressful environment.
  
• Ability to fully understand medical coding, medical insurance reimbursement process, medical terminology, and commonly- used concepts, practices, and procedures within the medical billing, appeals and collecting fields.
  
• Excellent organizational skills, ability to follow-through and manage different tasks with quick turn around time.
  
• Able to respect and maintain patient confidentiality at all times
  
• Must be able to perform daily procedures, meeting high quality standards and using his/her independent judgment following standards and regulations.
  
• Strong relationship with medical staff, peers, managers, patients and employees.
  
• Must be able to follow polic
  
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