Inpatient Medical Coding Auditor

Are you a skilled and meticulous Inpatient Medical Coding Auditor looking for a new opportunity to showcase your expertise? Humana is seeking a highly qualified individual to join our team and ensure accurate and compliant coding for our inpatient services. As an integral member of our team, you will play a crucial role in maintaining the integrity of our coding processes. If you have a keen eye for detail, strong analytical skills, and a passion for quality, we encourage you to apply. Join us in making a meaningful impact on the healthcare industry and delivering exceptional care to our members.

1. Conduct inpatient medical coding audits to ensure accuracy and compliance with industry standards and regulations.
2. Review medical records and coding documentation to identify any discrepancies or errors.
3. Collaborate with coding and billing teams to resolve any issues or discrepancies found during audits.
4. Stay up-to-date with changes in coding guidelines, regulations, and best practices to ensure coding accuracy and compliance.
5. Provide feedback and recommendations for improvement to coding and billing processes based on audit findings.
6. Analyze data and trends from audits to identify areas for improvement and develop strategies for addressing them.
7. Train and educate coding and billing staff on coding standards and compliance to improve overall coding accuracy.
8. Monitor and track coding accuracy metrics and report on audit results to management.
9. Communicate with healthcare providers and other stakeholders to address coding and billing concerns and provide education on coding guidelines.
10. Work closely with other members of the healthcare team to ensure accurate and timely reimbursement for services provided.
11. Maintain confidentiality and adhere to all privacy and security regulations when handling sensitive medical information.
12. Act as a subject matter expert on inpatient coding and compliance, providing guidance and support to other team members as needed.
13. Continuously assess and improve coding processes to ensure efficiency, accuracy, and compliance.
14. Represent the organization in a professional manner and uphold the company's mission and values.
15. Proactively identify potential compliance risks and work with the compliance team to address and mitigate them.

According to JobzMall, the average salary range for a Inpatient Medical Coding Auditor in Atlanta, GA, USA is $45,000 - $65,000 per year. This salary range may vary depending on the individual's level of experience, education, and the specific employer.

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.