Inpatient Medical Coding Auditor

** Become a part of our caring community and help us put health first*
* The Inpatient Medical Coding Auditor reviews a variety of medical records and to determine appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT.) The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Inpatient Medical Coding Auditor confirms appropriate diagnosis related group (DRG) assignments upon appeal. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

** Use your skills to make an impact*
* ** WORK STYLE:
** Remote, work le this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

*
* WORK HOURS:

** Typical business hours are Monday-Friday, 8 hours/day, 5 days/week-- some flexibility might be possible, once training is complete and depending on business needs.

Associates are expected to start each workday between 6AM-9AM EST, regardless of their home time zone.

** Required Qualifications*
* + RHIA, RHIT, or CCS Certification

+ At least 2 years' experience in acute in-patient coding experience and/or MS-DRG auditing

+ Recent experience auditing using CMS Manual, LCD, NCD, and Coding Guidelines

+ Experience reading and interpreting claims

+ Excellent written and verbal communication skills

+ Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel

+ Strong attention to detail

+ Can work independently and determine appropriate course of action

+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences

** Preferred Qualifications*
* + Associate's Degree or higher in Health Information Management (HIM)

+ Experience in Financial Recovery

+ Experience in a fast paced, metric driven operational setting

+ Experience in APR DRG coding/auditing

** Additional Information*
* ** Work at Home Requirements*
*
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

- Satellite, cellular and microwave connection can be used only if approved by leadership

- Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

- Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.

- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

** Interview Format*
* As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Hire Vue (formerly Modern Hire) to enhance our hiring and decision-making ability. Hire Vue (formerly Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview.  If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided.  Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Travel:
While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

** Scheduled Weekly Hours*
* 40

** Pay Range*
* The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$71,100 - $97,800 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

** Description of Benefits*
* Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate…