Humana
Inpatient Medical Coding Auditor
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Job Description
- Req#: R-402753
Employer Industry: Health Insurance Services
Why consider this job opportunity:
- Salary up to $97,800 per year
- Eligible for a bonus incentive plan based on company and individual performance
- Health benefits effective from day one
- Opportunities for career development and growth within the organization
- Flexible paid time off, including holidays and volunteer time
- Supportive work environment with a focus on employee well-being
What to Expect (Job Responsibilities):
- Review and ensure accuracy of DRG and ICD-10-CM/PCS coding assignments within the coding disputes team
- Collaborate with coding professionals to ensure accountability for coding dispute outcomes
- Communicate dispute outcomes to providers in a professional and concise manner
- Manage multiple priorities and ensure timely completion of inpatient coding disputes
- Leverage advanced auditing expertise to make informed coding decisions based on industry guidelines
What is Required (Qualifications):
- RHIA, RHIT, or CCS Certification with at least 4 years of experience
- Minimum of 3 years' experience performing inpatient coding reviews/audits in health insurance and/or hospital settings
- MS-DRG coding/auditing experience
- Proficient in Microsoft Office programs, including Word, PowerPoint, and Excel
- Excellent written and verbal communication skills
How to Stand Out (Preferred Qualifications):
- Associate's Degree or higher in Health Information Management (HIM)
- Experience in APR DRG coding/auditing
- Background in Financial Recovery
- Experience in a fast-paced, metric-driven operational setting
#HealthInsurance #MedicalCoding #CareerOpportunity #RemoteWork #EmployeeBenefitsAbout the company
Humana looks at every facet of your life and works with you to create a path to health that fits your unique needs
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