Remotery

Inpatient Medical Coding Auditor

atHumanaUS flagUnited StatesFull-timeAuditorMid-levelSenior$71.1k – $97.8k/year

Posted 2 days ago

This is a fully remote position, open to applicants in United States.

📋 Description

• Examine inpatient medical records and claims to guarantee precise coding and reimbursement.

• Allocate and confirm ICD-10-CM, ICD-10-PCS, and DRG codes.

• Evaluate coding quality and pinpoint areas for enhancement.

• Investigate and settle provider disputes using a fair and fact-driven method.

• Analyze intricate clinical documentation and coding situations.

• Work collaboratively with other teams to clarify coding and medical details.

• Aid in cost reduction by enhancing payment precision and minimizing errors.


⛳️ Requirements

• A minimum of four years of experience in MSDRG coding auditing.

• RHIA, RHIT, or CCS Certification (must have maintained certification for at least four years).

• Background in conducting inpatient coding audits within a health insurance or hospital environment.

• Proficient in reading and interpreting claims.

• Skilled in gathering or referencing data across multiple systems simultaneously.


🏝️ Benefits

• Medical, dental, and vision benefits.

• 401(k) retirement savings plan.

• Paid time off, including company holidays, personal holidays, and paid parental and caregiver leave.

• Short-term and long-term disability coverage.

• Life insurance and numerous other opportunities.

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