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.
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