Humana
Medical Coding Auditor
4 days agoWhat's your preference?
Job Description
- Req#: R-397681
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $80,900 per year
- Eligible for a bonus incentive plan based on performance
- Remote work opportunity with flexibility
- Comprehensive benefits including medical, dental, vision, and a 401(k) retirement savings plan
- Opportunity for professional development and continued education
- Supportive work environment focused on personal wellness and work-life balance
What to Expect (Job Responsibilities):
- Review medical claims against medical records to ensure compliance with coding guidelines
- Analyze and ensure accuracy of procedure codes based on services rendered
- Conduct peer reviews to ensure coding compliance and produce necessary reports
- Maintain patient and physician confidentiality while following federal and state guidelines
- Support process and quality improvement initiatives within the department
What is Required (Qualifications):
- CPC, COC, CCS, ROCC, RHIA, or RHIT Certification with a minimum of 3 years post-certification experience
- Minimum of 3 years post-certification experience in Outpatient Specialty Surgeries and Procedures
- Strong knowledge of CPT/HCPCS coding
- Demonstrated ability to manage multiple priorities and work independently
- Proficient in Microsoft Office Programs (Word, Excel)
How to Stand Out (Preferred Qualifications):
- 5+ years prior coding experience
- Experience reading and interpreting claims
- Outpatient facility auditing experience
- Familiarity with Ambulatory Payment Classification (APC) coding
- Experience with the Claims Life Cycle, including Accounts Receivable
#HealthcareServices #MedicalCoding #RemoteWork #CompetitivePay #CareerGrowth
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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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