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Inpatient Medical Coding Auditor

Remote / Online - Candidates ideally in
Columbus, Franklin County, Ohio, 43224, USA
Listing for: Humana
Remote/Work from Home position
Listed on 2026-01-03
Job specializations:
  • Healthcare
    Medical Billing and Coding
Salary/Wage Range or Industry Benchmark: 97800 USD Yearly USD 97800.00 YEAR
Job Description & How to Apply Below

Employer Industry: Healthcare Insurance

Why consider this job opportunity:
  • Salary up to $97,800 per year
  • Eligible for a bonus incentive plan based on company and/or individual performance
  • Comprehensive benefits package including medical, dental, vision, and 401(k) retirement savings plan
  • Opportunities for professional development and career advancement within a Fortune 100 company
  • Flexible remote work environment with occasional travel for training or meetings
  • Supportive organizational culture focused on the well-being of employees and consumers
What to Expect (Job Responsibilities):
  • Review inpatient hospital claims to ensure proper reimbursement and handle provider disputes
  • Assign appropriate procedural terminology and medical codes to patient records
  • Analyze, enter, and manipulate databases for accurate claims payment and diagnosis-related group assignments
  • Respond to internal requests for medical information and clarify discrepancies
  • Make independent decisions regarding work methods while adhering to established guidelines
What is Required (Qualifications):
  • RHIA, RHIT, or CCS Certification, with a minimum of 4 years of experience in one of these qualifications
  • MS-DRG coding/auditing experience
  • Proficiency in reading and interpreting claims
  • Experience in performing inpatient coding reviews/audits in health insurance and/or hospital settings
  • Strong attention to detail and ability to maintain confidentiality
How to Stand Out (Preferred Qualifications):
  • Experience in APR DRG coding/auditing
  • Background in Financial Recovery
  • Familiarity with a fast-paced, metrics-driven operational setting

"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position.

Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."

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