Remote Inpatient Coding Auditor – DRG Specialist

DaMar Staffing; Raleigh (NC); Remote; USD 71,000 - 98,000; Full time

Job summary

Humana is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and to assign ICD-10-CM and CPT codes to patient records. The role involves analyzing complex data and ensuring accurate DRG assignments.

The requirements include RHIA/RHIT/CCS certification, MS-DRG coding/auditing experience, proficiency with Microsoft Office, and strong attention to detail. This is a remote position with occasional travel for training and meetings.

Qualifications

• RHIA, RHIT or CCS certification required (held for 4 years).
• MS-DRG coding/auditing experience.
• Experience reading and interpreting claims.
• Inpatient coding reviews/audits in health insurance or hospital settings.
• Working knowledge of Word, PowerPoint, and Excel.
• Strong attention to detail.
• Ability to work independently and handle multiple priorities.
• Capacity to maintain confidentiality.
• Excellent written and verbal communication skills.

Responsibilities

• Review inpatient hospital claims for proper reimbursement.
• Analyze and assign ICD-10-CM and CPT codes with accuracy to DRG classifications.
• Respond to internal requests and support provider disputes in a metrics-driven environment.

Skills

RHIA Certification

RHIT Certification

CCS Certification

MS-DRG coding/auditing

Claims interpretation

Microsoft Office

Attention to detail

Independence

Confidentiality

Communication skills

Tools

Microsoft Office

Job description

Humana is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and to assign ICD-10-CM and CPT codes to patient records. The role involves analyzing complex data and ensuring accurate DRG assignments.

The requirements include RHIA/RHIT/CCS certification, MS-DRG coding/auditing experience, proficiency with Microsoft Office, and strong attention to detail. This is a remote position with occasional travel for training and meetings.