Become part of a caring community as an Inpatient Medical Coding Auditor supporting PPI Coding Disputes. This role reviews DRG and ICD-10-CM/PCS coding assignments for accuracy across a variety of medical records and works within the disputes team to ensure timely, compliant, and high-quality outcomes.
You will collaborate with coding professionals across departments, apply advanced auditing expertise, and communicate dispute outcomes to providers in a professional and concise manner. The position is remote, with occasional travel to Humana offices for training or meetings.
- RHIA, RHIT, or CCS certification, held for at least 4 years
- MS-DRG coding/auditing experience
- 3+ years of inpatient coding review/audit experience in health insurance and/or hospital settings
- Working knowledge of Microsoft Office, including Word, PowerPoint, and Excel
- Ability to work independently and determine the appropriate course of action
- Strong written and verbal communication skills
- Preferred: Associate's degree or higher in Health Information Management (HIM)
- Preferred: APR DRG coding/auditing experience
- Preferred: Financial recovery experience
- Preferred: Experience in a fast-paced, metric-driven operational setting
- Health benefits effective day 1
- Paid time off, holidays, volunteer time, and jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
- Parental and caregiver leave
- Employee charity matching program
- Network Resource Groups (NRGs)
- Career development opportunities
- Medical, dental, and vision benefits
- Short-term and long-term disability
- Life insurance
- Bonus incentive plan eligibility
Location
N/A
Employment Type
Full-time
Experience Level
Senior
Salary Range
$71,100 - $97,800
Remote work allowed
Yes
Posted
2 weeks ago