Humana
Cheyenne, WY
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Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments.
The Certified 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 goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following:
Review inpatient medical records and claims to ensure accurate coding and reimbursement
Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes
Audit coding quality and...