Humana Inc

Humana Inc. is seeking a Medical Coding Coordinator to support the Code Edit Disputes team in reviewing and educating providers on coding-related disputes. The role requires CPC certification, coding experience, and attention to detail. This is a remote position within the United States, with occasional training or meetings at Humana offices. The successful candidate will extract clinical information from records, assign ICD-10-CM and CPT codes, and handle administrative tasks with independent #J-18808-Ljbffr

Humana Inc. is seeking a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims, validating DRG assignments, and ensuring adherence to official guidelines. You will report to the Manager, Payment Integrity. This role requires RHIA/RHIT/CCS/CIC certification and 5+ years of inpatient coding experience, with audit or validation background and strong DRG knowledge. CDI and SOI/ROM concepts are essential; 3M Coding software experience is a plus. #J-18808-Ljbffr

Humana Inc. is seeking an experienced Certified Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. You will extract clinical information, assign ICD-10-CM, ICD-10-PCS, and DRG codes, and analyze coding scenarios to ensure accurate payment and contract alignment. Responsibilities include reviewing records, auditing coding quality, and collaborating with teams to improve payment accuracy and reduce errors, with travel as #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...

Humana Inc. is seeking an experienced Certified Inpatient Medical Coding Auditor to review inpatient claims for proper reimbursement and resolve provider disputes. You will extract clinical information and assign ICD-10-CM, ICD-10-PCS, and DRG codes to patient records, ensuring coding accuracy and payment integrity. The role targets cost reduction by improving payment accuracy, with responsibilities spanning audits, data analysis, and cross-team collaboration. #J-18808-Ljbffr

Humana Inc. is seeking a Medical Coding Coordinator for a remote role in the United States. The candidate will extract clinical information, assign medical codes (ICD-10-CM, CPT), and support internal requests while working with limited guidance based on experience. Requirements include CPC certification (AAPC) and at least 3 years of coding experience, with familiarity with Medicare/Medicaid guidelines, data entry, and Microsoft Office tools; Bachelor’s degree and CPMA are preferred. #J-18808-Ljbffr

Humana Inc. is seeking an experienced Certified Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. The role focuses on accurate ICD-10-CM/PCS coding and DRG assignment to ensure correct payments. You will analyze complex documentation, audit coding quality, and collaborate across teams to drive cost savings and payment integrity. This is a remote position with occasional travel for training or meetings. #J-18808-Ljbffr