Remote Inpatient Coding Auditor - MSDRG Expert

DaMar Staffing; Concord (NH); Remote; USD 71,000 - 98,000; Full time

Job summary

Humana is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims and assign appropriate DRGs using ICD-10-CM and CPT terminology. The role emphasizes accuracy, confidentiality, and independent work in a remote setting with some travel for training or meetings.

Requirements include RHIA/RHIT/CCS certification and MS-DRG coding experience, plus strong claims-reading skills and proficiency with MS Office.

Qualifications

• RHIA, RHIT or CCS certification required with at least 4 years in related roles.
• MS-DRG coding or auditing experience in inpatient settings.
• Experience reading and interpreting claims.
• Ability to review inpatient coding for health insurance/hospital claims.

Responsibilities

• Review inpatient hospital claims for proper reimbursement and DRG assignment.
• Analyze clinical documentation to ensure accurate coding output.
• Communicate findings clearly and maintain confidentiality.
• Work independently in a remote/work-at-home setup with occasional travel.

Skills

RHIA/RHIT/CCS

MS-DRG coding

Reading claims

Inpatient coding reviews

MS Office

Attention to detail

Independent work

Prioritization

Confidentiality

Communication

Tools

MS Office

Job description

Humana is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims and assign appropriate DRGs using ICD-10-CM and CPT terminology. The role emphasizes accuracy, confidentiality, and independent work in a remote setting with some travel for training or meetings.

Requirements include RHIA/RHIT/CCS certification and MS-DRG coding experience, plus strong claims-reading skills and proficiency with MS Office.