Inpatient Medical Coding Auditor

at Humana in Boise, Idaho, United States

Become a part of our caring community

The Inpatient Medical Coding Auditor PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD -10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records.

The Disputes Auditor MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality.

+ Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits ( MSDRG / APDRG )

+ Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner.

+ Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices

+ Manages multiple priorities, collaborates with peers and ensures timely completion of inpatient coding disputes

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:

+ 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

Use your skills to make an impact

WORK STYLE : Work at home, remote. While this is a remote position, occasional travel to Humanas offices for training or meetings may be required.

WORK HOURS : Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. Some flexibility might be available, depending on business needs.

Required Qualifications

+ RHIA , RHIT or CCS Certification (have held at least one of these qualifications for 4 years)

+ MS- DRG coding/auditing experience

+ 3+ years experience performing inpatient coding reviews/ audits in health insurance and/or hospital settings

+ Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel

+ Can work independently and determine appropriate course of action

+ Excellent communication skills bo