Humana
Inpatient Medical Coding Auditor
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Job Description
- Req#: R-409089
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $97,800 per year
- Eligible for a bonus incentive plan based on performance
- Comprehensive benefits including medical, dental, and vision coverage, 401(k) retirement plan, and paid time off
- Opportunity to work remotely with occasional travel for training or meetings
- Supportive environment focused on employee well-being and personal wellness
- Chance to contribute to improving healthcare outcomes for diverse populations
What to Expect (Job Responsibilities):
- Review inpatient hospital claims to ensure proper reimbursement and compliance with coding standards
- Extract clinical information from medical records and assign appropriate medical codes (e.g., ICD-10-CM, CPT)
- Analyze and manipulate databases to support auditing processes
- Respond to internal requests for medical information and clarify any discrepancies
- Make independent decisions regarding work methods and handle multiple priorities effectively
What is Required (Qualifications):
- RHIA, RHIT, or CCS Certification, held for at least 4 years
- Experience in MS-DRG coding/auditing
- Proficiency in reading and interpreting claims
- Background in performing inpatient coding reviews/audits in healthcare settings
- Strong attention to detail and excellent written and verbal communication skills
How to Stand Out (Preferred Qualifications):
- Experience in APR DRG coding/auditing
- Background in financial recovery processes
- Familiarity with working in a fast-paced, metrics-driven operational environment
#HealthcareServices #MedicalCoding #RemoteWork #HealthcareCareers #CompetitiveBenefits
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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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