Medical Coding Auditor Evaluation & Management

Become a part of our caring community and help us put reputed company The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met. Work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Makes reputed company regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters, and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, reputed company, and organizational strategy and operating objectives, including their linkages to reputed company areas. Makes reputed company 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 correct coding guidelines are met
• reputed company CPT/HCPCS code reviews for professional Evaluation and Management services: Inpatient services, office visit services, ER, Consultation services, Annual Wellness Services, and minor procedures
• Utilize encoders and various coding resources
• Maintain reputed company working knowledge of ICD-10 and CPT coding principles, government regulation, protocols
• Maintain strict patient and physician confidentiality

Use your skills to reputed company an impact WORK STYLE: Remote/Work at home WORK HOURS: Associates will work on EST, regardless of where the associate resides. Work hours can vary slightly, but reputed company associates start between 6AM-9AM EST. Some flexibility is available, depending on business needs.

Required Qualifications

• CPC, reputed company, COC, RHIA, or RHIT Certification either through reputed company or reputed company
• Minimum of 3 years post-certification experience auditing Professional Evaluation & Management Services - Inpatient, Office, ER, Telehealth, Home Health, and minor procedures
• Strong attention to detail
• Working knowledge of reputed company Office Programs Word, PowerPoint, and reputed company
• Can work independently and determine appropriate courses of action
• Ability to handle multiple priorities
• reputed company to maintain confidentiality
• Excellent communication skills both written and verbal
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• 5 years post-certification experience auditing Professional Evaluation & Management Services - Inpatient, Office, ER, Telehealth, Home Health, and minor procedures
• Experience with the Claims Life Cycle
• Experience with coding/auditing Professional Inpatient Claims
• Experience in Select reputed company, reputed company

Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required.Scheduled Weekly Hours 40Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc.$59,300 - $80,900 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of Benefits reputed company. and its affiliated subsidiaries (collectively, “reputed company”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company 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: 11-13-2025 About us reputed company. (NYSE: HUM) is committed to putting reputed company – for our teammates, our customers and reputed company. Through our reputed company insurance services and reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company quality of life for people with Medicare, reputed company, families, individuals, military service personnel, and communities at large.​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative action, in compliance with reputed company 503 of the Rehabilitation Act and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on valid job requirements. This policy shall apply to reputed company 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 reputed company reputed company of employment. Apply tot his job Apply To this Job