About this role
The Medical Coding Auditor at Humana reviews medical claims against provided medical records to ensure correct coding guidelines are met, contributing to cost reduction and accurate provider contract payments. This role requires independent judgment and the ability to decide proper actions in various situations while maintaining strict confidentiality and following established procedures.
Required Skills
- Medical Coding
- Claims Review
- Database Analysis
- Guideline Compliance
Qualifications
- CPC
- COC
- CCS
- ROCC
- RHIA
- RHIT Certification
- 3 years experience in medical coding
About Humana
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