Remote Outpatient Behavioral Health Coding Auditor

Humana Inc; United States; On-site; USD 59,000 - 81,000; Full time

Benefits offered by this job

Health benefits

Paid time off

401(k) retirement savings plan

Tuition assistance

Job summary

Humana Inc in the United States seeks an experienced medical coding auditor to handle outpatient Behavioral Health disputes in a metrics-driven environment. This role is remote and collaborates with the PPI Coding Disputes Team to ensure timely, compliant outcomes.

You will apply CPT/HCPCS coding guidelines, provide clear dispute communications to providers, and manage multiple priorities while maintaining high accuracy.

Qualifications

• Certified CPC or CCS.
• They must read and interpret Behavioral Health claims.
• 3+ years in Behavioral Health coding audits and disputes.

Responsibilities

• Audit outpatient Behavioral Health coding disputes per guidelines.
• Communicate dispute outcomes clearly to providers.
• Collaborate with coding peers across departments to ensure accuracy.
• Manage multiple disputes and prioritize timely resolutions.

Skills

CPC or CCS Certification

CPT/HCPCS auditing

Behavioral Health claims review

Behavioral Health coding audits

Microsoft Word/PowerPoint/Excel

Independent worker

Strong communication skills

Education

Associate's Degree or higher in HIM

Tools

Microsoft Office Suite

Job description

Humana Inc in the United States seeks an experienced medical coding auditor to handle outpatient Behavioral Health disputes in a metrics-driven environment. This role is remote and collaborates with the PPI Coding Disputes Team to ensure timely, compliant outcomes.

You will apply CPT/HCPCS coding guidelines, provide clear dispute communications to providers, and manage multiple priorities while maintaining high accuracy.