Remote Nurse Auditor: Clinical Coding & Audit Expert

Humana Inc; Lincoln (NE); Remote; USD 78,000 - 108,000; Full time

Job summary

Humana Inc. is seeking a Nurse Auditor 2 to perform clinical audit/validation ensuring accurate documentation and coding for services rendered. The role involves independent interpretation, identifying high-risk CMS HCCs, and recommending changes.

Remote with occasional travel to Humana offices for training. Typical hours are 8 hours/day, Mon-Fri, start between 6AM-9AM in home time zone. Requires RN license and inpatient care experience, strong MS Office skills, and excellent writing and

Qualifications

• :Active RN license in the state they reside.
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Responsibilities

• Audit/validate medical documentation for complete, compliant coding.

Skills

RN license

Inpatient hospital care

Medical coding knowledge

MS Office

Writing/editing

Communication

Independent work

Customer service

Education

Bachelor’s Degree in relevant field

Inpatient coding certification (RHIA/RHIT/CCS/CIS/CIC)

Tools

Microsoft Word

Microsoft Excel

Job description

Humana Inc. is seeking a Nurse Auditor 2 to perform clinical audit/validation ensuring accurate documentation and coding for services rendered. The role involves independent interpretation, identifying high-risk CMS HCCs, and recommending changes.

Remote with occasional travel to Humana offices for training. Typical hours are 8 hours/day, Mon-Fri, start between 6AM-9AM in home time zone. Requires RN license and inpatient care experience, strong MS Office skills, and excellent writing and