Remote Medical Coding Auditor — CPT/HCPCS Specialist

DaMar Staffing; Des Moines (IA); On-site; USD 59,000 - 81,000; Full time

Job summary

Humana is seeking a Medical Coding Auditor to verify and ensure accurate coding for outpatient procedures in a remote team. You will review medical records, apply CPT/HCPCS guidelines, and participate in quality improvement initiatives.

The role requires CPC/COC/CCS/RHIA/RHIT certifications with 3+ years post‑certification experience in outpatient coding, along with strong CPT/HCPCS knowledge. Remote work is supported with periodic travel for training or meetings.

Qualifications

• CPC/COC/CCS/RHIA/RHIT certifications with post‑certification experience.
• 3+ years post‑certification experience in Outpatient Specialty Surgeries and Procedures.
• Strong CPT/HCPCS knowledge and experience reading operative reports.

Responsibilities

• Verify and ensure accuracy of procedure codes based on services rendered.
• Review documentation to meet clinical criteria for APC and Outpatient Facility coding.
• Utilize encoders and coding resources; perform CPT/HCPCS reviews.

Skills

CPC certification

COC certification

CCS certification

RHIA/RHIT

CPT/HCPCS knowledge

MS Office

Independent worker

Tools

3M Coder software

Job description

Humana is seeking a Medical Coding Auditor to verify and ensure accurate coding for outpatient procedures in a remote team. You will review medical records, apply CPT/HCPCS guidelines, and participate in quality improvement initiatives.

The role requires CPC/COC/CCS/RHIA/RHIT certifications with 3+ years post‑certification experience in outpatient coding, along with strong CPT/HCPCS knowledge. Remote work is supported with periodic travel for training or meetings.