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Medical Coding Auditor
Humana
- New York, New York, United States
- New York, New York, United States
À propos
Responsibilities
Review medical documentation for clinical indicators to ensure correct coding guidelines are met.
Perform CPT/HCPCS code reviews for professional Evaluation and Management services including Inpatient, Office, ER, Telehealth, Home Health, Behavioral health and/or minor procedures.
Maintain productivity metrics and quality metrics.
Utilize encoders and various coding resources.
Maintain current working knowledge of ICD‑10 and CPT coding principles, government regulation, and protocols.
Maintain strict patient and physician confidentiality.
Work Style Remote, work at home. Occasional travel to Humana offices for training or meetings may be required.
Work Hours Typical business hours are Monday–Friday, 8 hours/day, 5 days/week. Once training is completed, associates may start as early as 6 AM in their own time zone, depending on business needs.
Required Qualifications
CPC, CCS, COC, RHIA, or RHIT Certification through AAPC or AHIMA.
Minimum of 3 years post‑certification experience auditing Professional Evaluation & Management (E&M) Services: Inpatient, Office, ER, Telehealth, Home Health, Behavioral health and/or minor procedures.
Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel.
Can work independently and determine appropriate courses of action.
Preferred Qualifications
Bachelor’s Degree.
3 or more years of experience as a certified medical coder.
Work from Home Requirements
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable, or DSL connection is suggested.
Satellite, cellular, and microwave connection can be used only if approved by leadership.
Associates who live and work from home in California, Illinois, Montana, or South Dakota will be provided a bi‑weekly payment for their internet expense.
Humana will provide telephone equipment appropriate to meet the business requirements for the position.
Work from a dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information.
Scheduled Weekly Hours 40 hours per week.
Pay Range $53,100 – $72,500 per year.
Benefits Humana, Inc. offers competitive benefits that support whole‑person well‑being. Associate benefits include medical, dental and vision coverage, a 401(k) retirement plan, paid time off, holidays, volunteer time off, parental and caregiver leave, short‑term and long‑term disability, life insurance and additional opportunities.
Application Deadline 05‑21‑2026.
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.
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Compétences linguistiques
- English
Avis aux utilisateurs
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