Humana Inc

Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g., ICD‑10‑CM, CPT, HCPCS). The role requires interpretation and independent determination of the appropriate courses of action, contributing to overall cost reduction by increasing the accuracy of provider contract payments in our payer systems and ensuring correct claims payment for appropriate CPT/HCPCS code assignments. The Auditor analyzes, enters and manipulates database data, responds to or clarifies internal requests for medical information, understands departmental, segment and organizational strategy and operating objectives, and follows established guidelines and procedures while making decisions in ambiguous situations. Where you come in The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g.,...

A leading healthcare company seeks a detail-oriented Medical Coding Auditor to ensure accurate coding of medical claims from the comfort of your home. This role is essential for reducing costs while ensuring compliance with coding guidelines. The candidate should have strong knowledge of CPT/HCPCS coding, with a minimum of 3 years' post-certification experience. This position offers flexibility in working hours and includes competitive benefits that support overall well-being. #J-18808-Ljbffr

Become a part of our caring community and help us put health first The Inpatient 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. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy...

A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to work remotely, reviewing inpatient hospital claims for proper reimbursement and ensuring accurate coding. Responsibilities include analyzing medical records and contributing to overall cost reduction. Candidates should have certification in RHIA, RHIT, or CCS with at least four years of experience, and must be detail-oriented and skilled in Microsoft Office. This position offers a competitive salary and great benefits. #J-18808-Ljbffr

Become a part of our caring community and help us put health first The Supervisor, Medical Referrals schedules and pre-registers patients for exams and procedures with specialists and providers outside the primary care physician's office. The Supervisor, Medical Referrals works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic problems; collaborates with management and top professionals/specialists in selection of methods, techniques, and analytical approach. The Supervisor, Medical Referrals gathers and communicates all relative information and preparation instructions to patient and referring providers. Decisions are typically are related to schedule, plans and daily operations. Performs escalated or more complex work of a similar nature, and supervises a group of typically support and technical associates; coordinates and provides day-to-day oversight to associates. Ensures consistency in...

A leading health insurance provider is seeking an experienced Inpatient Medical Coding Auditor to extract and assign medical codes to patient records. This remote position involves reviewing hospital claims to ensure proper reimbursement and facilitating provider disputes. Candidates should possess RHIA, RHIT, or CCS certifications and have significant experience in inpatient coding audits. This role demands excellent communication skills and a strong attention to detail, with a commitment to confidentiality and the capability to juggle multiple priorities. #J-18808-Ljbffr

Become a part of our caring community and help us put health first The Inpatient 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. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy...

Become a part of our caring community and help us put health first The Inpatient 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. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by...

A leading healthcare company is seeking a qualified Inpatient Medical Coding Auditor to analyze and code clinical information from medical records. This is a remote position with the possibility of travel to company offices for training. Candidates must have significant experience in coding/auditing, attention to detail, and strong communication skills. The role offers a competitive salary and benefits, along with a performance-based bonus incentive plan. #J-18808-Ljbffr

A leading health insurance company is seeking an Inpatient Medical Coding Auditor to extract clinical information and assign medical codes. This remote role involves reviewing hospital claims for proper reimbursement and handling provider disputes within a flexible work schedule. Certification in RHIA, RHIT, or CCS and experience in inpatient coding audits are required. The pay range is $71,100 - $97,800 per year, and the position includes performance bonuses and comprehensive benefits. #J-18808-Ljbffr

Become a part of our caring community and help us put health first The Inpatient 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. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy...

A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement from the comfort of your home. This crucial role involves extracting clinical information from medical records, assigning codes, and ensuring payment accuracy. You will need to have at least 4 years of experience with relevant qualifications and skills in medical coding. Join us to make an impact in the health sector and work with a Fortune 100 employer that rewards performance. #J-18808-Ljbffr

Become a part of our caring community and help us put health first The Inpatient 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. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy...

Overview Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments, analyzes, enters and manipulates the claim in the respective database, and responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction with guidance where needed. Follows established guidelines/procedures. Responsibilities Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews...

A leading health service company is seeking a Medical Coding Auditor to ensure accuracy in coding guidelines and processes. This remote role involves reviewing medical claims and documentation, analyzing data, and supporting coding accuracy. Ideal candidates will have certification and several years of coding experience, along with proficiency in Microsoft Office and strong communication skills. A commitment to confidentiality and quality improvement is essential. Competitive pay and benefits offered, with a salary range of $59,300 – $80,900 per year. #J-18808-Ljbffr

Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g., ICD‑10‑CM, CPT, HCPCS). The role requires interpretation and independent determination of the appropriate courses of action, contributing to overall cost reduction by increasing the accuracy of provider contract payments in our payer systems and ensuring correct claims payment for appropriate CPT/HCPCS code assignments. The Auditor analyzes, enters and manipulates database data, responds to or clarifies internal requests for medical information, understands departmental, segment and organizational strategy and operating objectives, and follows established guidelines and procedures while making decisions in ambiguous situations. Where you come in The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g.,...

Become a part of our caring community and help us put health first The Inpatient 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. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy...

A leading health services company is seeking a remote Medical Coding Auditor to ensure the accuracy of medical claims and procedure codes. This role involves analyzing medical documentation and conducting peer reviews while working remotely. Candidates should possess a certification with CPC or similar and have at least three years of relevant experience. Strong knowledge of CPT/HCPCS coding as well as excellent communication and analytical skills are essential. The position offers competitive compensation and comprehensive benefits. #J-18808-Ljbffr

Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g., ICD‑10‑CM, CPT, HCPCS). The role requires interpretation and independent determination of the appropriate courses of action, contributing to overall cost reduction by increasing the accuracy of provider contract payments in our payer systems and ensuring correct claims payment for appropriate CPT/HCPCS code assignments. The Auditor analyzes, enters and manipulates database data, responds to or clarifies internal requests for medical information, understands departmental, segment and organizational strategy and operating objectives, and follows established guidelines and procedures while making decisions in ambiguous situations. Where you come in The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g.,...

Become a part of our caring community and help us put health first The Inpatient 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. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy...

Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g., ICD‑10‑CM, CPT, HCPCS). The role requires interpretation and independent determination of the appropriate courses of action, contributing to overall cost reduction by increasing the accuracy of provider contract payments in our payer systems and ensuring correct claims payment for appropriate CPT/HCPCS code assignments. The Auditor analyzes, enters and manipulates database data, responds to or clarifies internal requests for medical information, understands departmental, segment and organizational strategy and operating objectives, and follows established guidelines and procedures while making decisions in ambiguous situations. Where you come in The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g.,...

A major healthcare organization seeks a Medical Coding Auditor to ensure compliance with coding guidelines for medical claims. This fully remote role requires strong analytical and coding skills, along with certifications such as CPC or CCS and minimum 3 years of experience. Responsibilities include reviewing procedural accuracy, maintaining confidentiality, and supporting quality improvement initiatives. The company offers competitive benefits and a salary range of $59,300 to $80,900 per year, with occasional training travel requirements. #J-18808-Ljbffr

A healthcare services company is seeking a Medical Coding Auditor to review medical claims and ensure accurate coding based on guidelines. You will have the opportunity to work 100% remotely, providing an essential role in validating claims and supporting organizational cost reduction. The ideal candidate should have at least 3 years of post-certification experience and a strong understanding of CPT/HCPCS coding. This position offers competitive compensation and excellent benefits including medical coverage and a 401(k) plan. #J-18808-Ljbffr

A leading health services company is seeking an experienced Inpatient Medical Coding Auditor to review hospital claims for accurate reimbursements. This role involves coding and auditing, optimizing provider payments, and requires strong certifications and coding experience. While this is primarily a remote position, occasional in-office meetings may be required. The compensation ranges from $71,100 to $97,800 annually, with a bonus incentive plan and comprehensive benefits. #J-18808-Ljbffr