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

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

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