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
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