Remote Outpatient Behavioral Health Coding Auditor

Humana; Little Rock (AR); Remote; USD 59,000 - 81,000; Full time

Benefits offered by this job

Health benefits from day 1

401(k) with employer match

Tuition assistance

Scholarships for dependents

Parental and caregiver leave

Employee charity matching

Job summary

Humana is seeking an experienced Outpatient Behavioral Health Coding Auditor to handle provider disputes in a metrics-driven environment. This remote role focuses on outpatient behavioral health coding disputes and is part of the PPI Coding Disputes Team.

The auditor reports to the Manager and collaborates with coding professionals to ensure timeliness, compliance, and quality of dispute outcomes. Travel may be required for training.

Qualifications

• CPC or CCS Certification and CPT/HCPCS auditing experience.

Responsibilities

• Audit outpatient Behavioral Health coding disputes and ensure accuracy and compliance with guidelines.
• Communicate dispute outcomes to providers in a professional manner.
• Collaborate with coding professionals across departments to improve timeliness and quality.

Skills

CPC or CCS Certification

CPT/HCPCS auditing

Reading Behavioral Health claims

Behavioral Health coding audits

Microsoft Office (Word, PowerPoint, **

Independent work

Excellent communication

Education

Associate's Degree or higher in Health Information Management (HIM)

Tools

Microsoft Office (Word, PowerPoint, Excel)

Job description

Humana is seeking an experienced Outpatient Behavioral Health Coding Auditor to handle provider disputes in a metrics-driven environment. This remote role focuses on outpatient behavioral health coding disputes and is part of the PPI Coding Disputes Team.

The auditor reports to the Manager and collaborates with coding professionals to ensure timeliness, compliance, and quality of dispute outcomes. Travel may be required for training.