Inpatient Medical Coding Auditor
Humana
full-time
Posted on:
Location Type: Remote
Location: Remote • California, Illinois, Montana, South Dakota • 🇺🇸 United States
Visit company websiteSalary
💰 $71,100 - $97,800 per year
Job Level
Mid-LevelSenior
About the role
- extracts clinical information from a variety of medical records
- assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records
- review inpatient hospital claims for proper reimbursement
- handle provider disputes in a result-oriented and metrics-driven environment
- contributes to overall cost reduction
- increase the accuracy of provider contract payments in payer systems
- ensure correct claims payment and appropriate diagnosis related group (DRG) assignments
- analyzes, enters and manipulates database
- responds to or clarifies internal requests for medical information
Requirements
- RHIA, RHIT or CCS Certification (should have held at least one of these qualifications for 4 years)
- MS-DRG coding/auditing experience
- Experience reading and interpreting claims
- Experience in performing inpatient coding reviews/ audits in health insurance and/or hospital settings
- Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel
- Strong attention to detail
- Can work independently and determine appropriate course of action
- Ability to handle multiple priorities
- Capacity to maintain confidentiality
- Excellent communication skills both written and verbal.
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance
- many other opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
ICD-10-CMCPTMS-DRG codingmedical codingclaims reviewdatabase manipulationinpatient codingauditing
Soft skills
attention to detailindependenceprioritizationconfidentialitycommunication
Certifications
RHIARHITCCS