Humana

Become a part of our caring community 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 increasing the accuracy of...

Humana is seeking a Medical Coding Auditor for its remote Outpatient Facility/APC Coding Team. You will verify codes, review documentation, and perform CPT/HCPCS reviews to ensure accurate claims processing while maintaining confidentiality. Ideal candidates have CPT/HCPCS expertise, post-certification experience in outpatient procedures, and strong attention to detail to support process improvements. #J-18808-Ljbffr

Humana, Inc. is hiring a Medical Coding Coordinator for a remote, nationwide role. You will extract clinical information from medical records, assign codes (ICD-10-CM, CPT), and support internal requests with accurate data handling and coding knowledge. The position emphasizes independent judgment, ability to manage multiple tasks in a fast-paced environment, and familiarity with Medicare/Medicaid guidelines. Travel not required, but occasional meetings may occur. #J-18808-Ljbffr

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works...

Humana is seeking a Medical Coding Auditor to join our Outpatient Facility/APC coding team in a remote capacity, with occasional travel for training. You will verify procedure codes, review clinical documentation, perform CPT/HCPCS reviews, and support quality improvements while protecting patient information and HIPAA rules. Required certifications CPC/COC/CCS/ROCC/RHIA/RHIT with 3+ years post-certification experience and strong CPT/HCPCS knowledge, including experience with #J-18808-Ljbffr

Become a part of our caring community 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 increasing the accuracy of...

Humana Inc. is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement, handling provider disputes in a results-driven setting. This remote role may require occasional travel to Humana offices for training or meetings. The auditor analyzes records to ensure accurate DRG assignments and cost-effective payments. The position requires RHIA, RHIT or CCS certification, MS-DRG coding/auditing experience, and the ability to work independently #J-18808-Ljbffr

Humana is seeking a Medical Coding Auditor to review outpatient CPT/HCPCS coding, analyze medical records, and ensure accuracy in payer systems. You will use encoders, perform CPT/HCPCS reviews, conduct peer reviews, and maintain confidentiality under HIPAA. Remote position with occasional travel to Humana offices. Typical hours Monday–Friday, 40 hours/week; requires CPC/COC/CCS/ROCC/RHIA/RHIT certifications and 3+ years post-certification experience. #J-18808-Ljbffr

Humana is seeking a Medical Coding Auditor to review medical claims against medical records, ensuring accurate CPT/HCPCS coding and compliance. You will analyze documentation, verify codes, and participate in process improvement while supporting remote work-life balance. The role emphasizes independent decision-making, attention to detail, and knowledge of ICD-10 and CPT guidelines. Some travel to Humana offices may be required for training. #J-18808-Ljbffr

Humana, Inc. is seeking a Medical Coding Coordinator to support accurate DRG assignments and documentation review. You will extract clinical information from medical records and assign ICD-10-CM, CPT, and HCPCS codes, while performing basic administrative tasks onsite. The role requires coding certification (CCS/CRC/CPC), EMR proficiency, and experience with ICD-10, CPT, and HCPCS. Onsite work at the Florida location is expected, with standard 40-hour weeks and opportunities to participate in #J-18808-Ljbffr

Humana is seeking a Medical Coding Auditor to review outpatient claims for accurate CPT/HCPCS coding and ICD-10-CM references. The role emphasizes accuracy, confidentiality, and adherence to guidelines in an outpatient setting. You will analyze documentation, perform CPT/HCPCS reviews, conduct peer reviews, and support process improvements. Remote work from home with occasional travel to Humana offices for training. #J-18808-Ljbffr

Medical Coding Professional 2Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands.As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices.This is a hybrid position that requires occasional travel within the assigned market.Responsibilities:Deliver coding and documentation education to providers and clinic staff within IPA clinics.Be a consultative resource and ongoing support for providers in assigned clinics.Conduct documentation audits to identify gaps, trends, and opportunities for improvement.Perform quarterly chart reviews to support coding accuracy and...

Humana seeks a Medical Coding Auditor to review outpatient claims against records, ensuring accurate CPT/HCPCS codes and APC alignment. You will analyze documentation, use encoders, and perform reviews to support accurate provider payments. You will work remotely, with possible travel to Humana offices for training. Strong CPT/HCPCS knowledge and post-certification experience are required, along with attention to detail and independence. #J-18808-Ljbffr

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works...

Medical Coding Professional 2Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands.As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices.This is a hybrid position that requires occasional travel within the assigned market.Responsibilities:Deliver coding and documentation education to providers and clinic staff within IPA clinics.Be a consultative resource and ongoing support for providers in assigned clinics.Conduct documentation audits to identify gaps, trends, and opportunities for improvement.Perform quarterly chart reviews to support coding accuracy and...

Become a part of our caring community 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 increasing the accuracy of...

Humana is seeking a Medical Coding Auditor for the Outpatient Facility/APC Coding Team. This remote role reviews medical claims against records to ensure CPT/HCPCS codes are accurate and aligned with guidelines. Candidates should have CPC/COC/CCS/ROCC/RHIA/RHIT certification with 3+ years post-cert experience and knowledge of chemotherapy/infusion coding. You will use encoders, perform CPT/HCPCS reviews, and participate in process improvements while protecting PHI. #J-18808-Ljbffr

Humana Inc. is seeking a Medical Coding Coordinator for a fully remote role across the U.S. You will extract clinical information from medical records and assign CPT/ICD codes, supporting claims resolution and data quality. The position requires CPC certification, 3+ years coding experience, and proficiency with Word/Excel/Outlook/Teams. You will work with the Code Edit Disputes team, coordinating with internal teams while maintaining HIPAA-compliant practices. #J-18808-Ljbffr

Humana is seeking a Medical Records Retrieval Specialist to perform quality assurance audits on medical records and ICD-9/10 codes for CMS and other agencies. Do not wait to apply after reading this description a high application volume is expected for this opportunity. This remote role requires on-site travel to provider offices around Smyth County, VA, reporting to the Risk Adjustment Supervisor. The role emphasizes accuracy, HIPAA compliance, and efficient processing in a field-based, structured environment. xmvmafu You will securely handle PHI and coordinate with physician offices to meet deadlines while Remote working/work at home options are available for this role.

Become a part of our caring community 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 increasing the accuracy of...

Humana, Inc. is seeking a Senior Clinical Operations Professional to design and implement initiatives that optimize clinical operations and enhance care delivery. You will identify opportunities, set priorities, and develop standardized practices aligned with regulatory requirements to improve efficiency and patient outcomes. The role works remotely with occasional travel to Humana offices for training or meetings. #J-18808-Ljbffr

Become a part of our caring community 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 increasing the accuracy of...

Become a part of our caring community 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 increasing the accuracy of...

Become a part of our caring community 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 increasing the accuracy of...