Inpatient Medical Coding Auditor

Humana

Remote medical coding auditor reviewing inpatient hospital claims for reimbursement at Humana. Contributing to cost reduction and payment accuracy in healthcare services offered to members.

Posted 6/7/2026full-timeRemote • California, Illinois, Montana, South Dakota • 🇺🇸 United StatesMid-LevelSenior💰 $71,100 - $97,800 per yearWebsite

About the role

Key responsibilities & impact

Review inpatient medical records and claims to ensure accurate coding and reimbursement
Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes
Audit coding quality and identify opportunities for improvement
Investigate and resolve provider disputes with a fair, fact-based approach
Analyze complex clinical documentation and coding scenarios
Collaborate with other teams to clarify coding and medical information
Contribute to cost savings by improving payment accuracy and reducing errors

Requirements

What you’ll need

Four or more years of MSDRG coding auditing experience
RHIA, RHIT or CCS Certification (must have held certification for at least 4 years)
Experience performing inpatient coding audits in a health insurance or hospital setting
Experience reading and interpreting claims
Proficiency in gathering or referencing data within different systems simultaneously

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

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

ICD-10-CMICD-10-PCSDRG codingcoding auditingmedical codingclaims interpretationdata analysiscoding quality auditpayment accuracy improvementerror reduction

Soft Skills

collaborationproblem-solvingcommunicationfact-based decision makingattention to detail

Certifications

RHIARHITCCS