Jobs in the United States

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Added 7 mins ago
Hierarchical Condition Category (HCC) Coding Specialist
Highmark Health
Atlanta, GA
…not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines,…
Added 7 mins ago
Consultative Coding Manager
CenterWell
Atlanta, GA
CPC (Certified Professional Coder) Certification.
Added 50 mins ago
Medical Coder / CDI Specialist (AI Clinical Evaluation)
Gramian Consulting Group
Remote, United States
We are looking for an experienced Medical Coder / Clinical Documentation Integrity (CDI) Specialist to contribute to an AI training and evaluation project focused on coding accuracy,…
Added 1 hour ago
Medical Coder / CDI Specialist (AI Clinical Evaluation)
Gramian Consulting Group
Remote, United States
We are looking for an experienced Medical Coder / Clinical Documentation Integrity (CDI) Specialist to contribute to an AI training and evaluation project focused on coding accuracy,…
Added 1 hour ago
Coding Operations Education Consultant WFH
HCA Healthcare
Nashville, TN
…the quality of physician documentation within the body of the medical record to support code assignments. The Education Consultant, in collaboration with the Regional Coding Operations…
Added 2 hours ago
NL
Revenue Integrity Analyst (FGP) - Manhattan, CBO North Billing (CPC highly preferred)
NYU Langone Medical Center
New York, NY
- $70,481.6 to $94,605 USD / year
…in the nation. NYU Langone offers a comprehensive range of medical services with one high standard of care across 6 inpatient locations, its Perlmutter Cancer Center, and over 320…
Added 3 hours ago
Consultative Coding Manager
CenterWell
Columbia, SC
CPC (Certified Professional Coder) Certification.
Added 3 hours ago
CH
Coding Auditor and Educator Professional Fee
CommonSpirit Health
Englewood, CO
- $34 to $56.1 USD / hour
Two (2) years of recent experience in PB coder audits, education, and training
Added 3 hours ago
U
Certified Medical Coder Inpatient
UCHealth
Denver, CO
- $25.8 to $38.7 USD / hour
Assigns codes for Medical diagnoses and procedures using the appropriate coding classification assigned using ICD-10 and PCS.
Added 3 hours ago
U
Coder Inpatient
UCHealth
Denver, CO
- $25.8 to $38.7 USD / hour
Assigns codes for Medical diagnoses and procedures using the appropriate coding classification assigned using ICD-10 and PCS.
Added 3 hours ago
Medical Records Technician (Clinical Documentation Improvement Specialist (Outpatient/Inpatient))
Veterans Affairs, Veterans Health Administration
Martinsburg, WV
Added 3 hours ago
Medical Records Technician (Clinical Documentation Improvement Specialist (Outpatient/Inpatient))
Veterans Affairs, Veterans Health Administration
Martinsburg, WV
Added 10 hours ago
Medical Coder -Surgical (R00054978)
The University of Mississippi Medical Center (UMMC)
Jackson, MS
…Location/s: Central Billing Office-Clinton, Remote Job Title: Medical Coder Professional - Surgical Coder Job Summary: Medical Coder-Professional is responsible for reviewing and coding…
Added 11 hours ago
Senior Manager, Billing Compliance
Dana-Farber Cancer Institute
BOSTON, MA
…and we work with amazing partners, including other Harvard Medical School-affiliated…
Added 12 hours ago
RR
Clinical Coding Appeals Nurse
R1 RCM
Frankfort, KY
- $65,000 to $116,747.2 USD / year
…and financial performance of hospitals, health systems, and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with…
Added 12 hours ago
AH
Inpatient Coder (Remote)
AMN Healthcare
Remote, United States
- $32 to $40 USD / hour
Added 12 hours ago
UH
Coding Quality Specialist 2 - OB/GYN
UVA Health
Charlottesville, VA
- $23 to $41.38 USD / hour
This is an exciting opportunity for an experienced medical coder who enjoys combining technical expertise, analytical thinking, and collaboration with providers. In this remote position,…
Added 13 hours ago
TH
Inpatient Corporate Coder - Remote based in the US
Tenet Healthcare Corporation
Remote, United States
- $26.4 to $38 USD / hour
The Corporate Coder (“CC”) functions under the direction of the Health Information Corporate Coding Manager. The CC is responsible for accurate coding and abstracting of clinical…
Added 14 hours ago
UG
Medical Coder
UnitedHealth Group
Everett, WA
- $20 to $36 USD / hour
The Medical Coder performs concurrent review of FFS coding rules within Epic, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials.
Added 14 hours ago
Forward Deployed Software Engineer
Convr
Remote, United States
Strong coder with shown proficiency in TypeScript/JavaScript, Python, Java, C++, or similar.
Added 15 hours ago
GS
Medical Review Nurse
GRP SCAN Group
Long Beach, CA
- $38.61 to $55.86 USD / hour
Provide clinical review of medical claims and post service appeals. Facilitate appropriate investigation of issues and management of medical services and benefits administration while…
Added 15 hours ago
Consultative Coding Manager
Conviva Care Solutions, LLC
Remote, United States
CPC (Certified Professional Coder) Certification.
Added 15 hours ago
T
Medical Biller / CPC Or CPC-A
TEKsystems
Chicago, IL
- $25 USD / hour
…worked appeals and extensive experience with EOB's. A tenured coder will get bored in this…
Added 15 hours ago
Medical Coder
Bluebird Staffing
Mishawaka, IN
Added 15 hours ago
Medical Coder
Bluebird Staffing
Mishawaka, IN

Closed listing

Humana

Consultative Coding Manager

Remote, United States

$86,300 - $118,700 per year

This opening has closed.

The original listing is kept below for reference.

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Job details

Pay: $86,300 - $118,700 per year
Working hours: 40 hours per week
Posting language: English
Posted: Oct 30, 2026

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Original job description

Archived listing. The details below describe a past opening.

Become a part of our caring community

The Consultative Coding Manager manages a diverse team of consultative coders responsible for ensuring clinical documentation supports accurate coding and is reflective of the disease prevalence within the population. The Consultative Coding leader partners with the Divisional Coding Leader to develop market-specific strategies to promote accurate clinical documentation, ensures all state, federal and internal policies and procedures are followed, and fosters collaboration within onshore and offshore coding, audit, and education.

Strategy:

Cultivate relationships with clinicians (Physicians and Advanced Practice Providers) to serve as the single point of contact for questions and issues relating to documentation and coding.
In partnership with Divisional Coding Leaders, develops strategy for consultative coding to ensure market needs are being met.
Cultivates relationships with Divisional Coding Leaders, Market Leaders, and Consultative Coders to share knowledge and best practices.
Identify and recommend strategies for improving clinical documentation and coding for pre and post visit coding.

Post-Visit/Offshore Coding Collaboration:

Establish relationship with post-visit/offshore coding leadership.
Develop continuous quality improvement initiatives.

Mergers and Acquisitions:

Monitor special handling of mergers and acquisitions.
Oversee Problem List clean up (as outlined by compliance).
Ensure PCO process training is performed consistently.
PCO Process training including but not limited to reporting.

Use your skills to make an impact

Required Qualifications:

Bachelor's Degree or equivalent experience.
6+ years of technical experience including Microsoft Office Suite.
2+ years of management experience.
CPC (Certified Professional Coder) Certification.
RHIA, RHIT, CCS, CPC Certification.
Medicare Risk Advantage based knowledge and experience.
Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
This position is market-based, and candidates must currently reside in Florida, Georgia, North Carolina or South Carolina.
Must be able to travel approximately 25%.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$86,300 - $118,700 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana’s Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com. Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all 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 all levels of employment.

About employer

More about this job

Skills

Documentation
Leadership
Mergers and acquisitions
Regulatory compliance
Reporting
Microsoft Office

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