Medical Coding Auditor

Humana • Indianapolis, IN • 1h ago

Become a part of our caring community

The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines

Utilize encoders and various coding resources

Perform CPT Procedure reviews

Maintain strict patient and physician confidentiality and follow all federal, state and hospital guidelines for release of information

Maintain current working knowledge of ICD-10 and CPT coding principles, government regulation, protocols

Use your skills to make an impact

Required Qualifications

Minimum of 3+ years post certification experience Outpatient Specialty Surgeries and Procedures for Physicians

RHIA, RHIT, CCS, CPC, or COC Certification

Strong knowledge of NCD/LCDs, CMS Manual, NCCI Edits, and coding guidelines

Experience reading & coding from operative reports

Strong attention to detail, can work independently and determine appropriate course of action, & ability to handle multiple priorities

Comfortable working in a production-based work environment

Ability to work independently and manage workload

Preferred Qualifications

STRONGLY PREFERRED : Experience with coding/auditing multispecialty surgical procedures.

Experience with coding/auditing Professional Inpatient Claims

Experience in Select Coder, 3M

Experience with the Claims Life Cycle

Additional Information

WORK STYLE: Remote/Work at home; minimal travel may be required for onsite meetings.

WORK HOURS: Associates will work on EST, regardless of where the associate resides. Work hours can vary, slightly, but all associates start between 6AM-9AM EST. Some flexibility is available, depending on business needs.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$59,300 - $80,900 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 04-10-2026

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at?Humana.com?and at?CenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Humana

Go to Apply

Share this job

Similar Jobs

Medical Assistant Primary Care

Ascension Health • Indianapolis, IN • 1h ago

Hospital & Medical

Your future role at a glance Location: Indianapolis, IN Facility: AMg Harcourt Specialty Department/Specialty: Primary Care Schedule: Full Time / Days Life at Ascension: Where purpose meets opportunity Ascension is a lea...

1h ago

Go to Apply

Admission Clinical Assistant

Help at Home • Indianapolis, IN • 6h ago

Hospital & Medical

Overview As the nation's leading provider of high-quality home care services, we empower our clients to live independently, safely, and with dignity in their own homes. The home is more than a place - it's the center of...

6h ago

Go to Apply

Pharmacy Technician

Actalent • Indianapolis, IN • 18h ago

Hospital & Medical

Pharmacy Technician INTERVIEWS AVAILABLE THIS WEEK Interested In This Role? Reach out directly to Sneha at snprakash@actalentservices. com | Call/Text 317 - 548- 1234 Job Description We are seeking a dedicated and detail...

18h ago

Go to Apply

Patient Care Technician - PCT

Fresenius Medical Care • Indianapolis, IN • 1d ago

Hospital & Medical

PURPOSE AND SCOPE: Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policie...

1d ago

Go to Apply

Patient Care Technician - PCT

Fresenius Medical Care • Indianapolis, IN • 1d ago

Hospital & Medical

1d ago

Go to Apply

Oncology Regional Medical Scientific Director, Genitourinary Oncology: Eastern Pennsylvania, New Jersey, Delaware

Merck • Indianapolis, IN • 1d ago

Hospital & Medical

Job Description Our Medical Affairs team advances patient care by engaging in scientific exchange with external medical experts and industry leaders ensuring the scientific value of our products is understood. We connect...

1d ago

Go to Apply

Medical Laboratory Scientist-1-2 Years Of Exp- Indianapolis IN-2nd Shift-HIRING NOW !!!!

Actalent • Indianapolis, IN • 1d ago

Hospital & Medical

Medical Lab Scientist I With 1-2 Years of Experience/2nd shift (6:00pm -12:00am)Friday-Sunday/Onsite/Indianapolis IN INTERVIEWS AVAILABLE THIS WEEK Interested In This Role? Reach out directly to Sneha at snprakash@actale...

1d ago

Go to Apply

Registered Nurse (RN) - Outpatient Home Based Primary Care

Veterans Affairs, Veterans Health Administration • Indianapolis, IN • 2d ago

Hospital & Medical

Summary This position is located at the Richard L. Roudebush VAMC Indianapolis, IN within the Geriatrics and Extended Care service. The Home Based Primary Care (HBPC) Outpatient Staff Registered Nurse (RN) executes posit...

2d ago

Go to Apply

Home Health Registered Nurse

CenterWell • Indianapolis, IN • 2d ago

Hospital & Medical

Become a part of our caring community As a CenterWell Home Health nurse, reporting to the Clinical Manager, you will provide personalized, one-on-one care that helps patients regain independence in the comfort of their h...

2d ago

Go to Apply

Medical Assistant

CenterWell • Indianapolis, IN • 3d ago

Hospital & Medical

Become a part of our caring community The Medical Assistant 2 is the first point of contact for patient care. Responsible for administrative duties in addition to patient care. The Medical Assistant 2 performs varied act...

3d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.