Humana
Medical Coding Auditor
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Job Description
- Req#: R-392426
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $60,700 per year
- Eligible for a bonus incentive plan based on performance
- Comprehensive benefits including medical, dental, vision, and 401(k) retirement savings plan
- Opportunities for personal wellness and smart healthcare decisions for you and your family
- Flexible remote work arrangement with occasional travel for training or meetings
- Supportive work environment committed to employee well-being and development
What to Expect (Job Responsibilities):
- Extract clinical information from medical records and assign appropriate procedural terminology and medical codes
- Review medical documentation to ensure compliance with coding guidelines
- Conduct peer reviews and provide reports as needed
- Maintain patient and physician confidentiality while following federal and state guidelines
- Stay updated on ICD-10 and CPT coding principles and government regulations
What is Required (Qualifications):
- Must reside in Puerto Rico
- Bilingual in English and Spanish
- Minimum of 3 years of outpatient coding and auditing experience, including CPT surgical coding
- Certified Medical Coder with credentials such as RHIA, RHIT, CCS, or CPC through AHIMA or AAPC
- Demonstrated ability to lead process or project initiatives
How to Stand Out (Preferred Qualifications):
- Associate's Degree in a relevant field
- Experience with Select Coder and/or 3M
- Knowledge of prospective payment methodologies
- Familiarity with financial recovery processes
#HealthcareServices #MedicalCoding #RemoteWork #CareerOpportunity #CompetitiveBenefits
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About 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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