Senior PPI Professional - Inpatient Coding Disputes
Humana(1 month ago)
About this role
The Senior Payment Integrity Professional - Inpatient Coding Disputes consults and collaborates with coding professionals across departments to ensure timely, compliant, and high-quality outcomes for coding dispute reviews. The role acts as a subject matter expert in inpatient coding audits (MSDRG/APDRG) and represents dispute review outcomes to a variety of audiences. This position is part of Humana’s Disputes Team within Payment Integrity and supports coordination of onshore and offshore audit activities.
Required Skills
- Inpatient Coding
- DRG Auditing
- Claims Review
- Coding Disputes
- Audit Management
- Vendor Management
- Microsoft Excel
- Communication
- Leadership
- HIPAA Compliance
Qualifications
- CCS
- RHIT
- RHIA
About Humana
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