Code Edit Disputes Supervisor

Become a part of our caring community Code Edit Disputes reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Supervisor, Medical Coding works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic problems; collaborates with management and top professionals/specialists in selection of methods, techniques, and analytical approach. Where you Come In The Supervisor, Medical Coding oversees the coding disputes team as related to schedules, plans, and daily operations. Coordinates and collaborates with Lead to ensure consistency in processes and procedures are aligned across teams. Leads continuous improvement efforts such as evaluating existing systems and implementing process improvements. Implements, monitors, and continually improves program operational processes. Rethinks routine from a standpoint of how inventory is approached, which includes viewing different aspects of the edit, actively offering new ideas to simplify or improve team processes and procedures while identifying trends by deep diving into issues to determine opportunities. Holds team members accountable for following established policies and procedures. What Humana Offers We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. Use your skills to make an impact

WORK STYLE

Remote, work at home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

WORK HOURS

Typical work hours are M-F, 8 hours/day, 5 days/week. Training hours might be different than typical work hours, once working independently, associates are expected to start work each day between 6AM-9AM EST, regardless of the associate's home time zone. Required Qualifications – What it takes to Succeed Minimum of 6 years of medical coding experience Minimum of 2 years of formal or informal leadership/management experience (ie team lead, SME: Subject Matter Expert) Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications STRONGLY PREFERRED: CPC (AAPC) certification STRONGLY PREFERRED: Code edit experience Bachelor's Degree Coding leadership experience overseeing remote staff Outpatient professional coding experience Denial management experience Additional Information - How we Value You Work at Home Requirements At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information 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. $71,100 - $97,800 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 05-21-2026 About us About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our #J-18808-Ljbffr Humana Inc