Remote Outpatient Behavioral Health Coding Auditor

Humana; Salem (OR); Remote; USD 59,000 - 81,000; Full time

Benefits offered by this job

Health benefits

401(k) matching

Tuition assistance

Parental leave

Professional development

Job summary

Humana is seeking an experienced Medical Coding Auditor to handle outpatient Behavioral Health disputes in a metrics-driven environment. This remote role supports the PPI Coding Disputes Team, ensuring high accuracy and timely dispute outcomes.

The auditor collaborates with coding professionals, applies CPT/HCPCS rules, and works to improve dispute quality while maintaining HIPAA compliance and provider communication.

Qualifications

• CPC or CCS certification required.
• CPT/HCPCS auditing experience required.
• 1+ years' experience reading Behavioral Health claims.
• 3+ years' experience performing Behavioral Health coding audits and handling disputes.
• Proficiency with Word, PowerPoint and Excel.
• Ability to work independently and determine next steps.
• Strong written and verbal communication skills.

Responsibilities

• Audit outpatient Behavioral Health coding disputes for accuracy and compliance.
• Ensure timely completion of coding dispute reviews.
• Communicate dispute outcomes professionally to providers.
• Collaborate with coding professionals across departments to improve quality and timeliness.

Skills

CPC or CCS Certification

CPT/HCPCS auditing

Behavioral Health claims reading

Behavioral Health coding audits

MS Word, PowerPoint, Excel

Independent work

Excellent written and verbal

Education

Associate's Degree in HIM

Job description

Humana is seeking an experienced Medical Coding Auditor to handle outpatient Behavioral Health disputes in a metrics-driven environment. This remote role supports the PPI Coding Disputes Team, ensuring high accuracy and timely dispute outcomes.

The auditor collaborates with coding professionals, applies CPT/HCPCS rules, and works to improve dispute quality while maintaining HIPAA compliance and provider communication.