Medical Coding Auditor

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

📋 Description

• Review medical documentation to verify that clinical indicators comply with coding guidelines.

• Conduct CPT/HCPCS code evaluations for professional Evaluation and Management services, which include Inpatient, Office, ER, Telehealth, Home Health, Behavioral Health, and minor procedures.

• Ensure accurate assignments of CPT coding.

• Analyze, input, and manipulate databases effectively.

• Address or clarify internal inquiries regarding medical information.

• Adhere to productivity standards.

• Uphold quality metrics.

• Utilize encoders and a variety of coding resources.

• Stay informed about ICD-10 and CPT coding principles, government regulations, and protocols.

• Maintain strict confidentiality regarding patient and physician information.

• Operate independently, making informed decisions about work methods and appropriate actions.

• Work typical business hours, Monday through Friday, 8 hours per day, 5 days per week.

⛳️ Requirements

• CPC, CCS, COC, RHIA, or RHIT certification from AAPC or AHIMA is required.

• A minimum of 3 years of post-certification experience auditing Professional Evaluation & Management (E&M) Services.

• Experience in auditing Inpatient, Office, ER, Telehealth, Home Health, Behavioral Health, and/or minor procedures.

• Proficient in Microsoft Office applications, including Word, PowerPoint, and Excel.

• Ability to work independently and identify suitable courses of action.

• Minimum download speed of 25 Mbps and upload speed of 10 Mbps is required.

• A wireless, wired cable, or DSL internet connection is recommended; satellite, cellular, and microwave connections require leadership approval.

• A dedicated workspace that minimizes interruptions to safeguard member PHI/HIPAA information.

• Availability to work Monday through Friday, 8 hours per day, 5 days per week.

• Flexibility to start as early as 6 AM in your time zone post-training, based on business needs.

• Bachelor's degree is preferred.

• Preferred: 3 or more years of experience as a certified medical coder.

🏝️ Benefits

• Medical, dental, and vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays.

• Personal holidays.

• Paid parental leave.

• Paid caregiver leave.

• Short-term disability.

• Long-term disability.

• Life insurance.

• Internet expense reimbursement for associates working from home in California, Illinois, Montana, or South Dakota.

• Humana-provided telephone equipment for Home or Hybrid Home/Office associates.

• Remote work opportunities.

• Occasional travel to Humana offices for training or meetings.