Humana
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.
Inpatient Medical Coding Auditor
Location
California + 3 moreAll locations: California, Illinois, Montana, South Dakota
Posted
9 hours ago
Salary
$71.1K - $97.8K / year
Professional Certificate3 yrs expEnglish
Job Description
• Reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records
• Consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality
• Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner
• Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices
• Manages multiple priorities, collaborates with peers and ensures timely completion of inpatient coding disputes
Job Requirements
- RHIA, RHIT or CCS Certification (have held at least one of these qualifications for 4 years)
- MS-DRG coding/auditing experience
- 3+ years' experience performing inpatient coding reviews/ audits in health insurance and/or hospital settings
- Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel
- Can work independently and determine appropriate course of action
- Excellent communication skills both written and verbal
Benefits
- 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
