Behavioral Health Outpatient Medical Coding Auditor
Humana
full-time
Posted on:
Location Type: Remote
Location: California • Illinois • United States
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Salary
💰 $59,300 - $80,900 per year
About the role
- Handle provider disputes in a result-oriented and metrics-driven environment
- Focus on Outpatient Behavioral Health Coding disputes
- Consult and collaborate with coding professionals within and across departments
- Ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality
- Leverage advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices
- Manage multiple priorities and ensure timely completion of outpatient coding disputes
Requirements
- CPC or CCS Certification
- CPT/ HCPCS auditing experience
- 1+ years' work experience reading and interpreting Behavioral Health claims
- 3+ years' experience performing Behavioral Health coding audits in health insurance and/or hospital settings and working coding-related disputes and trending results
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
CPT auditingHCPCS auditingBehavioral Health codingcoding auditscoding decisionsmetrics-driven environmentprovider dispute resolutiontimeliness compliancequality assurance
Soft Skills
consultationcollaborationaccountabilityindependencecommunication
Certifications
CPCCCS