Remote Inpatient Coding Auditor (MS-DRG)

Humana Inc; Richmond (VA); Remote; USD 71,100 - 97,800; Full time

Benefits offered by this job

Medical, dental, and vision benefits

401(k) retirement savings plan

Paid time off

Life insurance

Job summary

A healthcare services provider is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves extracting clinical information from medical records and ensuring proper reimbursement for inpatient hospital claims. Ideal candidates will have at least four years of experience with RHIA, RHIT, or CCS certifications. Benefits include competitive medical, dental, and vision packages along with a 401(k) plan. This position is vital for maintaining accuracy in provider contract payments and improving overall healthcare efficiency.

Qualifications

• Must have RHIA, RHIT or CCS Certification for at least 4 years.
• Experience in inpatient coding reviews/audits in health insurance or hospital settings.
• Ability to handle multiple priorities while maintaining confidentiality.

Responsibilities

• Extract clinical information from medical records for coding.
• Review inpatient hospital claims for proper reimbursement.
• Ensure correct claims payment and appropriate DRG assignments.

Skills

MS-DRG coding/auditing experience

Experience reading and interpreting claims

Experience in performing inpatient coding reviews/audits

Strong attention to detail

Excellent communication skills

Education

RHIA, RHIT or CCS Certification

Tools

Microsoft Office Programs

Job description

A healthcare services provider is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves extracting clinical information from medical records and ensuring proper reimbursement for inpatient hospital claims. Ideal candidates will have at least four years of experience with RHIA, RHIT, or CCS certifications. Benefits include competitive medical, dental, and vision packages along with a 401(k) plan. This position is vital for maintaining accuracy in provider contract payments and improving overall healthcare efficiency.