Remote Outpatient Behavioral Health Coding Auditor

Humana; Salt Lake City (UT); Remote; USD 59,000 - 81,000; Full time

Job summary

Humana is seeking an experienced Outpatient Behavioral Health Coding Auditor to join the Disputes Team on a remote basis. The role focuses on CPT/HCPCS coding disputes and requires accuracy and timely decisions in a metrics‑driven environment.

You will collaborate with coding professionals across departments to ensure compliance and communicate dispute outcomes professionally to providers. Occasional travel to Humana offices may be required for training.

Qualifications

• CPC or CCS Certification required.
• 3+ years' experience performing Behavioral Health coding audits.
• 1+ years' experience reading Behavioral Health claims.
• Strong communication and independent working ability.

Responsibilities

• Lead outpatient Behavioral Health coding disputes ensuring timeliness and accuracy.
• Adhere to coding guidelines and communicate dispute outcomes clearly to providers.
• Collaborate with cross‑department coding professionals to improve dispute processes.
• Manage multiple audits and prioritize workflow effectively.

Skills

Excellent communication

Independent worker

Behavioral Health claims reading

Coding disputes trends

Education

CPC or CCS Certification

Associate's Degree in HIM

Tools

CPT/HCPCS auditing

Microsoft Office (Word, PowerPoint, Excel)

Job description

Humana is seeking an experienced Outpatient Behavioral Health Coding Auditor to join the Disputes Team on a remote basis. The role focuses on CPT/HCPCS coding disputes and requires accuracy and timely decisions in a metrics‑driven environment.

You will collaborate with coding professionals across departments to ensure compliance and communicate dispute outcomes professionally to providers. Occasional travel to Humana offices may be required for training.