4 medical coding auditor jobs found in Jackson, MS

Become a part of our caring community 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 identify opportunities for...

Humana Inc. is seeking an experienced Certified Inpatient Medical Coding Auditor to review hospital claims for proper reimbursement and DRG assignments. You will extract clinical data and ensure accurate ICD-10-CM/PCS codes and compliance. The role is remote, with standard 40-hour weeks and potential travel to Humana offices as needed. Candidates should have 4+ years of inpatient coding audits, RHIA/RHIT/CCS certification, and strong claims-reading skills, contributing to cost savings and #J-18808-Ljbffr

Serco is seeking a Medical Coding Auditing Specialist to support the Defense Health Agency’s Medical Coding Program Branch. The role involves auditing DHA facilities, developing annual audit plans, and conducting targeted coding/documentation audits to ensure compliance with coding policies and standards. Candidates must have 7+ years in medical coding/auditing across multiple specialties, with required professional and institutional certifications; pre-employment screening may apply. #J-18808-Ljbffr

Datavant is seeking a Profee Auditing Specialist to conduct Professional Fee coding audits fully remote. In this role, you will ensure coding accuracy, provide education, and keep up with regulatory changes while maintaining a customer-service focus. Required qualifications include over 5 years of coding/auditing experience, CPC certification, and proficiency in software like Epic and Cerner. Benefits include medical coverage and a $2,500 sign-on bonus. Pay ranges between $35 to $45 hourly depending on experience. #J-18808-Ljbffr