Remote Medical Coding Auditor | Detail-Driven & Impactful

DaMar Staffing; Columbus (OH); On-site; USD 59,000 - 81,000; Full time

Job summary

Humana is seeking a Medical Coding Auditor to extract clinical information from medical records and assign appropriate procedural terminology and codes (ICD-10-CM, CPT). The role requires interpreting data and independently determining the proper course of action, with a focus on accuracy and quality.

Remote work is offered with occasional travel to Humana offices for training or meetings. Strong knowledge of NCD/LCDs, CMS Manual, NCCI Edits, and coding guidelines is essential, along with 2+

Qualifications

• Must have CPC/COC/CCS/RHIA/RHIT certification.
• Minimum of 2 years outpatient medical record auditing experience, including knowledge of outpatient coding conventions and standards.
• Strong knowledge of NCD/LCDs, CMS Manual, NCCI Edits, and coding guidelines.
• Demonstrated judgment and discretion in handling and disseminating information.
• Ability to work independently, manage workload, and handle multiple priorities within a production-based environment.

Responsibilities

• Extract clinical information from medical records and assign CPC/ICD-10-CM and CPT codes.
• Interpret and determine appropriate courses of action based on coding guidelines.
• Maintain strong written and verbal communication and organizational skills.

Skills

Auditing

Attention to detail

Communication

Microsoft Office

Education

CPC/COC/CCS/RHIA/RHIT Certification

Tools

3M Coder software

CRM/SRO

Pareo

MOAT

Job description

Humana is seeking a Medical Coding Auditor to extract clinical information from medical records and assign appropriate procedural terminology and codes (ICD-10-CM, CPT). The role requires interpreting data and independently determining the proper course of action, with a focus on accuracy and quality.

Remote work is offered with occasional travel to Humana offices for training or meetings. Strong knowledge of NCD/LCDs, CMS Manual, NCCI Edits, and coding guidelines is essential, along with 2+