Inpatient Medical Coding Auditor

Humana

Inpatient Medical Coding Auditor at Humana extracting clinical information from medical records and coding for hospital claims. Ensuring proper reimbursement and handling provider disputes in a metrics-driven environment.

Posted 5/20/2026full-timeCalifornia, Illinois, Montana, South Dakota • 🇺🇸 United StatesMid-LevelSenior💰 $71,100 - $97,800 per yearWebsite

About the role

Key responsibilities & impact

Extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes
Reviews inpatient hospital claims for proper reimbursement
Handles provider disputes in a result-oriented and metrics-driven environment
Contributes to overall cost reduction by increasing the accuracy of provider contract payments
Ensures 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

What you’ll need

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

Comp & perks

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 and many other opportunities

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

medical codingprocedural terminologyMS-DRG codingclaims reviewinpatient codingdatabase manipulationauditingreimbursement analysis

Soft Skills

attention to detailindependent workmulti-taskingconfidentialitycommunication skills

Certifications

RHIARHITCCS