Remote Outpatient Behavioral Health Coding Auditor

Humana; Springfield (IL); Remote; USD 59,000 - 81,000; Full time

Benefits offered by this job

Health benefits from day 1

401(k) with company match

Tuition assistance

Parental and caregiver leave

Employee charity matching

Job summary

Humana is seeking an experienced outpatient behavioral health coding auditor to join the disputes team. This remote role focuses on BH coding disputes, ensuring accuracy, timeliness, and compliance with CPT/HCPCS guidelines.

You will collaborate with coding professionals across departments and communicate outcomes to providers. The ideal candidate has 3+ years in BH coding audits, CPC/CCS certification, and strong MS Office skills.

Qualifications

• CPC or CCS certification required.
• CPT/HCPCS auditing experience.
• 1+ years' experience reading Behavioral Health claims.
• 3+ years' BH coding audits in health insurance or hospital settings.
• Proficient with Word, PowerPoint, and Excel.
• Able to work independently and communicate clearly.

Responsibilities

• Audit outpatient Behavioral Health coding disputes.
• Ensure accuracy and compliance with coding guidelines.
• Communicate disputes outcomes to providers in a professional manner.
• Manage multiple priorities and meet deadlines.

Skills

CPT/HCPCS auditing

Behavioral Health coding

CPC or CCS certification

Reading BH claims

MS Office

Independent work

Clear communication

Education

Associate's Degree or higher in HIM

Tools

Microsoft Office (Word, PowerPoint, Excel)

Job description

Humana is seeking an experienced outpatient behavioral health coding auditor to join the disputes team. This remote role focuses on BH coding disputes, ensuring accuracy, timeliness, and compliance with CPT/HCPCS guidelines.

You will collaborate with coding professionals across departments and communicate outcomes to providers. The ideal candidate has 3+ years in BH coding audits, CPC/CCS certification, and strong MS Office skills.