Remote Inpatient Coding Auditor – MS-DRG Expert

DaMar Staffing; Charleston (WV); 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, handle provider disputes, and ensure accurate DRG assignments. The role requires analyzing information, working with HIPAA-compliant data, and delivering precise coding analyses from home.

The position is remote with occasional travel to Humana offices for training or meetings. Typical work hours are 40 per week during standard business days, with a pay range to be

Qualifications

• RHIA, RHIT or CCS certification held for at least 4 years.
• MS-DRG coding/auditing experience.
• Experience reading and interpreting claims.
• Experience in inpatient coding reviews/audits in health insurance and/or hospital settings.
• Strong attention to detail; able to work independently and manage multiple priorities.

Responsibilities

• Review inpatient hospital claims for proper reimbursement and DRG assignments.
• Analyze data and respond to internal information requests.
• Communicate findings clearly and maintain confidentiality.

Skills

Attention to detail

Independent work

Multitasking

Communication skills

Education

RHIA/RHIT/CCS Certification

Tools

Microsoft Word

PowerPoint

Excel

Job description

Humana is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes, and ensure accurate DRG assignments. The role requires analyzing information, working with HIPAA-compliant data, and delivering precise coding analyses from home.

The position is remote with occasional travel to Humana offices for training or meetings. Typical work hours are 40 per week during standard business days, with a pay range to be