Humana
Madison, WI, USA
Description
The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records.
Responsibilities
The Medical Coding Auditor confirms appropriate diagnosis related group (DRG) assignments. This position will be a business partner with Resolution working Appeals from a clinical perspective to collaboratively complete appeal cases utilizing DRG knowledge. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information.
Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
WORK STYLE: 100% remote, work at home
WORK HOURS: Monday-Friday, 5 days/week,...