Are you a detail-oriented individual with a passion for accuracy and compliance? Do you have experience in medical coding and a strong understanding of healthcare regulations? If so, we have an exciting opportunity for you at Humana as an Inpatient Medical Coding Auditor. As an integral member of our team, you will play a crucial role in ensuring the accuracy and integrity of our medical coding processes. We are looking for a highly skilled and knowledgeable individual who is dedicated to upholding the highest standards of quality and compliance. If you are ready to take on a challenging and rewarding role with a leading healthcare company, we encourage you to apply today.
- Conduct thorough and accurate audits of inpatient medical coding to ensure compliance with healthcare regulations and company standards.
- Identify and report any coding errors or discrepancies to management for resolution.
- Collaborate with coding and billing teams to address and resolve any coding discrepancies or issues.
- Stay up-to-date on all relevant coding guidelines, regulations, and industry changes to ensure accurate and compliant coding practices.
- Maintain detailed and organized records of audit findings, including any necessary follow-up actions.
- Communicate audit results and recommendations to management and provide ongoing support and guidance to coding staff.
- Conduct training and educational sessions for coding staff to promote understanding of coding guidelines and regulations.
- Work closely with other departments to ensure coding practices align with overall company goals and initiatives.
- Continuously evaluate and improve coding processes and procedures to maximize accuracy and efficiency.
- Represent the company in a professional manner and uphold the highest standards of integrity and compliance in all coding-related activities.
Certified Coding Specialist (Ccs) Credential From Ahima: This Qualification Ensures That The Inpatient Medical Coding Auditor Has The Necessary Knowledge And Skills To Accurately Assign And Review Inpatient Medical Codes.
Minimum Of 3 Years Of Experience In Inpatient Medical Coding: This Requirement Demonstrates That The Candidate Has A Strong Understanding Of Inpatient Coding Guidelines, Procedures, And Regulations.
Extensive Knowledge Of Icd-10-Cm And Pcs Coding: Inpatient Medical Coding Auditors Must Have A Deep Understanding Of The Icd-10 Coding System And Be Able To Accurately Assign Codes To Complex Medical Records.
Excellent Analytical And Critical Thinking Skills: Inpatient Medical Coding Auditors Must Be Able To Analyze Medical Records And Identify Any Discrepancies Or Errors In Coding. This Requires Strong Critical Thinking Skills And Attention To Detail.
Strong Communication And Interpersonal Skills: Inpatient Medical Coding Auditors Must Be Able To Effectively Communicate With Healthcare Providers And Coding Staff To Address Any Coding Issues Or Concerns. They Must Also Be Able To Clearly And Concisely Document Their Audit Findings And Recommendations.
Documentation
Auditing
Compliance
Teamwork
Medical coding
Drg
Cpt
Hcpcs
Modifiers
Icd-10-Cm
Medicare Guidelines
Communication
Conflict Resolution
Emotional Intelligence
Leadership
Time management
creativity
Organizational skills
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Inpatient Medical Coding Auditor is $50,000-$70,000 per year. However, this can vary depending on factors such as location, experience, and employer. Some inpatient medical coding auditors may earn more or less than this range.
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Humana Inc. is a for-profit American health insurance company based in Louisville, Kentucky. Its strategy integrates care delivery, the member experience, and clinical and consumer insights to encourage engagement, behavior change, proactive clinical outreach and wellness for the millions of people they serve across the country. The company operates its business through the following segments: Retail, Group, and Healthcare Services.
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