Remote Inpatient Coding Auditor – MS-DRG Expert

Humana Inc; Hartford (CT); 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 and holidays

Job summary

A leading healthcare services firm is seeking an experienced Inpatient Medical Coding Auditor to extract clinical information and assign medical codes for inpatient hospital claims. This remote role involves reviewing claims for reimbursement accuracy and handling provider disputes. The ideal candidate will have coding certification and experience in healthcare settings, along with strong communication skills and attention to detail. This position offers a competitive salary and includes benefits for personal wellness.

Qualifications

• Should have held certification for at least 4 years.
• Must have experience in performing inpatient coding reviews.
• Attention to detail is crucial.

Responsibilities

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

Skills

RHIA, RHIT or CCS Certification

MS-DRG coding/auditing experience

Experience reading and interpreting claims

Working knowledge of Microsoft Office

Excellent communication skills

Job description

A leading healthcare services firm is seeking an experienced Inpatient Medical Coding Auditor to extract clinical information and assign medical codes for inpatient hospital claims. This remote role involves reviewing claims for reimbursement accuracy and handling provider disputes. The ideal candidate will have coding certification and experience in healthcare settings, along with strong communication skills and attention to detail. This position offers a competitive salary and includes benefits for personal wellness.