Have you ever wanted to use your sharp eye for detail to make a real financial impact in healthcare while working entirely from home? Humana is searching for an Inpatient Medical Coding Auditor to join our growing community of professionals who value both accuracy and well-being. This is a fully remote opportunity available worldwide, giving you the freedom to practice your expertise from any location. If you thrive in a metrics driven environment and love solving complex clinical puzzles, keep reading because this might just be your next great career move.
Overview
As an Inpatient Medical Coding Auditor, you will dive deep into clinical information across various medical records to ensure precise procedural terminology and medical codes are assigned. You will review inpatient hospital claims to secure proper reimbursement and handle provider disputes with a results oriented mindset. Your daily efforts will directly contribute to overall cost reduction by boosting the accuracy of provider contract payments and ensuring correct diagnosis related group assignments.
Key Responsibilities
- Examine and evaluate inpatient hospital claims and medical records for correct ICD-10-CM and CPT coding.
- Verify appropriate diagnosis related group assignments to guarantee correct claims payment and proper reimbursement.
- Manage provider disputes efficiently within a fast paced, metrics driven setting.
- Analyze, enter, and manipulate database information to track trends and findings.
- Support overall cost reduction initiatives by increasing accuracy in payer systems.
Requirements
- Extensive experience in inpatient medical coding and auditing with a strong focus on MSDRG.
- Deep understanding of medical terminology, ICD-10-CM, and CPT coding guidelines.
- Proven ability to analyze complex data and evaluate variable factors effectively.
- Comfort working independently in a remote setup with strong self motivation and organizational skills.
- Strong communication abilities for handling provider disputes and collaborating with team members.
What You'll Gain
- The flexibility of working from home with a Fortune 100 company.
- An inclusive culture that truly focuses on the well-being of its staff and consumers.
- Attractive performance rewards that recognize your hard work and dedication.
- Opportunities to grow your career alongside top tier healthcare professionals.
How to Apply
Click the apply button below to view the full job details and submit your application directly through the employer's official page.
