Medical Coding Auditor

Humana

Medical Coding Auditor reviewing CPT/HCPCS and E&M coding for Humana, a U.S. healthcare company.

Posted 8/11/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $53,100 - $72,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in CPT and ICD-10 coding principles, with a strong focus on auditing Professional Evaluation and Management services. Maintains high standards of productivity and quality metrics while ensuring compliance with government regulations and patient confidentiality.

Highest-signal resume keywords

CPC CertificationCPT CodingICD-10 CodingAuditing ExperienceMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT CodingICD-10 CodingAuditingDatabase AnalysisMedical Documentation ReviewCoding Guidelines ComplianceProductivity Metrics MaintenanceQuality Metrics MaintenanceTelehealth CodingBehavioral Health Coding

Soft Skills

Independent Decision-MakingClarification of Medical Information

Tools & Technologies

EncodersMicrosoft WordMicrosoft PowerPointMicrosoft Excel

Certifications & Qualifications

CPCCCSCOCRHIARHIT

Industry Keywords

Professional Evaluation and Management ServicesInpatient CodingOffice CodingER CodingHome Health CodingMinor Procedures CodingHIPAA CompliancePatient Confidentiality

About the role

Key responsibilities & impact

Review medical documentation for clinical indicators to ensure correct coding guidelines are met
Perform CPT/HCPCS code reviews for professional Evaluation and Management services, including Inpatient, Office, ER, Telehealth, Home Health, Behavioral health, and minor procedures
Confirm correct CPT coding assignments
Analyze, enter, and manipulate databases
Respond to or clarify internal requests for medical information
Maintain productivity metrics
Maintain quality metrics
Utilize encoders and various coding resources
Maintain current working knowledge of ICD-10 and CPT coding principles, government regulations, and protocols
Maintain strict patient and physician confidentiality
Work independently, making decisions regarding work methods and appropriate courses of action
Work typical Monday-Friday business hours, 8 hours per day, 5 days per week

Requirements

What you’ll need

CPC, CCS, COC, RHIA, or RHIT certification through AAPC or AHIMA
Minimum of 3 years post-certification experience auditing Professional Evaluation & Management (E&M) Services
Auditing experience covering Inpatient, Office, ER, Telehealth, Home Health, Behavioral health and/or minor procedures
Working knowledge of Microsoft Office programs, including Word, PowerPoint, and Excel
Ability to work independently and determine appropriate courses of action
Minimum download speed of 25 Mbps and upload speed of 10 Mbps
Wireless, wired cable, or DSL internet connection suggested; satellite, cellular, and microwave connections require leadership approval
Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
Ability to work Monday-Friday, 8 hours per day, 5 days per week
Ability to start as early as 6 AM in own time zone after training, depending on business needs
Bachelor's degree preferred
3 or more years of experience as a certified medical coder preferred

Benefits

Comp & perks

Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off
Company holidays
Personal holidays
Paid parental leave
Paid caregiver leave
Short-term disability
Long-term disability
Life insurance
Internet expense payment for associates who live and work from home in California, Illinois, Montana, or South Dakota
Humana-provided telephone equipment for Home or Hybrid Home/Office associates
Remote work at home
Occasional travel to Humana offices for training or meetings