Humana

About Humana

 

Job Category:

Member Quality & Financials - Medical Coding

Country:

United States

Approximate Salary:

Not Specified

Position Type:

Full Time

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Medical Coding Auditor

Humana - Work At Home, Kentucky

Posted: 10/14/2018

Description

The 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 Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Medical Coding Auditor confirms appropriate diagnosis related group (DRG) assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

               

Required Qualifications

  • RHIA, RHIT or CCS Certification required
  • MS-DRG auditing and APR auditing experience
  • Acute in-patient  coding and auditing experience

Preferred Qualifications

Additional Information

Scheduled Weekly Hours

40

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