Humana
Medical Coding Auditor Evaluation & Management
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Job Description
- Req#: R-393010
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
- Comprehensive benefits including medical, dental, vision, and 401(k) retirement savings plan
- Flexible remote work opportunity with some schedule flexibility
- Chance to contribute to an organization focused on improving consumer experiences
- Supportive work environment that values personal wellness and smart healthcare decisions
What to Expect (Job Responsibilities):
- Review medical documentation for clinical indicators to ensure correct coding guidelines are met
- Perform CPT/HCPCS code reviews for various professional Evaluation and Management services
- Utilize encoders and various coding resources to ensure accurate coding
- Maintain current working knowledge of ICD-10 and CPT coding principles and regulations
- Ensure strict patient and physician confidentiality in all work
What is Required (Qualifications):
- CPC, CCS, COC, RHIA, or RHIT Certification through AAPC or AHIMA
- Minimum of 3 years post-certification experience auditing Professional Evaluation & Management Services
- Strong attention to detail and ability to handle multiple priorities
- Working knowledge of Microsoft Office programs including Word, PowerPoint, and Excel
- Excellent written and verbal communication skills
How to Stand Out (Preferred Qualifications):
- 5 years post-certification experience auditing Professional Evaluation & Management Services
- Experience with the Claims Life Cycle and coding/auditing Professional Inpatient Claims
- Familiarity with Select Coder and 3M software
#HealthcareServices #MedicalCoding #RemoteWork #CareerOpportunity #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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