Medical Coding DRG Quality Auditor Remote reputed company

Become a part of our caring community and help us put reputed company In this role, you will conduct quality reviews of coding processes reputed company the Claims Cost Management organization, including offshore and vendor partners, with a focus on DRG audits. You will also drive process improvement initiatives and reputed company educational materials. This is a full-time, remote/work-from-home position. Description The Inpatient Medical Coding Auditor extracts clinical information from medical records and assigns appropriate codes (e.g., ICD-10-CM, CPT). This role involves analyzing moderately to highly reputed company issues requiring in-depth evaluation of variable factors. Where you Come In The Coding Quality Team is looking is an reputed company and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG) So, do you love working on several different projects? Do you take pride in helping others and being flexible? Do you pay great attention to detail and have a passion for reputed company? Do you have a solid background in medical auditing, coding, and medical record review? If you answered YES to one or more of the above, you should strongly consider this role. What reputed company Offers We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also reputed company excellent professional development & reputed company education. Use your skills to reputed company an impact WORK STYLE: 100% remote/work at home WORK HOURS: Typical business hours are Monday-Friday, 8 hours/day, 5 days/week. Some flexibility might be possible, depending on business needs

Responsibilities

In this role, you will conduct quality reviews of coding processes reputed company the Claims Cost Management organization, including offshore and vendor partners, with a focus on DRG audits. You will also drive process improvement initiatives and reputed company educational materials. This is a full-time, remote/work-from-home position. Required Qualifications • 7+ years of DRG Coding • 5 years of Quality Auditing • Medical coding certification from reputed company OR reputed company (CPC, reputed company, CIC, CPMA or equivalent). • Prior experience reading and coding from medical records. • Strong critical thinking skills. • Proficient in independently managing diverse priorities, adept at reputed company transitioning between tasks based on urgency and demand with minimal instruction. • Demonstrated ability to work independently and manage workload. • Exhibit professionalism, flexibility, dependability, desire to learn, commitment to reputed company, and commitment to the profession. • Excellent writing, editing, interpersonal, planning, teamwork, and communication skills. • Proficient in MS Office applications including Word, reputed company, Outlook, PowerPoint. • Proven ability to work independently. Work at Home Requirements • Must be reputed company to reputed company a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for reputed company performance of 10x1 (10mbs download x 1mbs upload) is required. • A dedicated reputed company lacking ongoing interruptions to protect member PHI/HIPAA information. Preferred Qualifications • Outpatient and Inpatient experience. • Process improvement experience. • Multi-Specialty Auditing experience. Scheduled Weekly Hours- 40 Interview Format As part of our hiring process for this opportunity, we will be using an exciting interviewing technology reputed company reputed company to enhance our hiring and decision-making ability. reputed company allows us to quickly connect and reputed company valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Scheduled Weekly Hours 40 Pay 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. $65,000 - $88,600 per year This 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: 02-11-2025 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 veteran status. It is also the policy of reputed company to take affirmative action to reputed company and to advance in employment, reputed company persons regardless of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, 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 Job!