Inpatient Medical Coding Auditor

** Become a part of our caring community and help us put health first*
* The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records.

The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality.

+ Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG)

+ Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner.

+ Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices

+ Manages multiple priorities, collaborates with peers and ensures timely completion of inpatient coding disputes

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:

+ Health benefits effective day 1

+ Paid time off, holidays, volunteer time and jury duty pay

+ Recognition pay

+ 401(k) retirement savings plan with employer match

+ Tuition assistance

+ Scholarships for eligible dependents

+ Parental and caregiver leave

+ Employee charity matching program

+ Network Resource Groups (NRGs)

+

Career development opportunities

** Use your skills to make an impact*
* ** Required Qualifications*
* + RHIA, RHIT or CCS Certification (have held at least one of these qualifications for 4 years)

+ MS-DRG coding/auditing experience

+ 3+ years' experience performing inpatient coding reviews/ audits in health insurance and/or hospital settings

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

+ Can work independently and determine appropriate course of action

+ Excellent communication skills both written and verbal

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

+ Experience in APR DRG coding/auditing

+ Experience in Financial Recovery

+ Experience in a fast paced, metric driven operational setting

** Additional Information*
* *** Multiple Openings Available**
* ** Work-At-Home Requirements*
* + To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.

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

+ Employees 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

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

If you are selected, you will receive correspondence inviting you to participate in a Hire Vue assessment. You will have a set of questions and you will provide responses to each question. You should anticipate this to take about 10-15 minutes. Your answers will be reviewed, and you will subsequently be informed if you will be moving forward to next round.

LI-LM1

Travel:
While this is a remote position, occasional travel to…