Medical Coding Auditor

Job Description

Are you a detail-oriented individual with a passion for healthcare? Do you excel at analyzing data and identifying trends? Look no further, Humana is seeking a skilled Medical Coding Auditor to join our team. As a leading healthcare company, Humana values accuracy and compliance in our medical coding processes. In this role, you will have the opportunity to utilize your expertise in medical coding to ensure the quality and accuracy of our coding practices. Join us in our mission to improve the health and well-being of our members by applying your skills and experience as a Medical Coding Auditor at Humana.

Your Responsibilities

• Conduct audits of medical coding processes to ensure accuracy and compliance with industry standards and regulations.
• Analyze coding data and identify trends to improve coding practices and identify areas for improvement.
• Collaborate with coding team members to develop and implement corrective actions based on audit findings.
• Stay up-to-date on changes in coding guidelines and regulations to ensure compliance.
• Communicate audit findings and recommendations to management and coding team.
• Review medical records and coding documentation to ensure accuracy and completeness.
• Identify and report any potential fraud or abuse related to coding practices.
• Provide training and education to coding team members on coding guidelines and best practices.
• Utilize coding expertise to assist in resolving complex coding issues.
• Maintain confidentiality of all medical records and coding information.
• Continuously strive to improve coding processes and maintain high standards of accuracy.
• Collaborate with cross-functional teams to ensure alignment and consistency in coding practices.
• Represent Humana in a professional manner and uphold the company's values and mission.
• Adhere to all company policies and procedures related to medical coding and auditing.
• Perform other related duties as assigned by management.

Equal Opportunity Employer

Humana is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.