Remote Inpatient Coding Auditor (MS-DRG Expert)

DaMar Staffing; Montgomery (AL); On-site; USD 71,000 - 98,000; Full time

Job summary

Humana is seeking an experienced Inpatient Medical Coding Auditor to review hospital claims for proper reimbursement, assign DRGs, and ensure accurate coding in payer systems. This remote role may require occasional travel to Humana offices for training or meetings.

You will analyze medical records, respond to information requests, and maintain HIPAA confidentiality while applying MS-DRG coding expertise to support cost reduction and data integrity across payer operations.

Qualifications

• RHIA, RHIT or CCS certification required (4+ years).
• MS-DRG coding/auditing experience.
• Experience reading and interpreting claims.
• Experience inpatient coding reviews/audits in health insurance or hospital settings.
• Strong Microsoft Office skills (Word/PowerPoint/Excel).
• Strong attention to detail.
• Ability to work independently and handle multiple priorities.
• Excellent verbal and written communication.

Responsibilities

• Review inpatient hospital claims for proper reimbursement.
• Ensure accurate DRG assignments.
• Analyze medical records for coding accuracy.
• Respond to internal requests for information.
• Maintain confidentiality and comply with HIPAA.

Skills

MS-DRG coding/auditing

Reading claims

Inpatient coding reviews

Attention to detail

Independent work

Excellent communication skills

Education

RHIA

RHIT

CCS Certification

Tools

Microsoft Word

Microsoft PowerPoint

Microsoft Excel

Job description

Humana is seeking an experienced Inpatient Medical Coding Auditor to review hospital claims for proper reimbursement, assign DRGs, and ensure accurate coding in payer systems. This remote role may require occasional travel to Humana offices for training or meetings.

You will analyze medical records, respond to information requests, and maintain HIPAA confidentiality while applying MS-DRG coding expertise to support cost reduction and data integrity across payer operations.