Humana Inc is seeking a Medical Coding Auditor for the Outpatient Facility/APC Coding Team. You will review medical claims against records to ensure correct ICD-10-CM, CPT and HCPCS coding and support cost reduction through accurate payments.
Key duties include verifying procedure codes, evaluating documentation against clinical criteria, using coding resources and performing CPT/HCPCS reviews. You will maintain confidentiality and stay current with ICD-10 and CPT guidelines.
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