Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. - Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) - Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. - Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices - Manages multiple priorities, collaborates with peers and ensures timely completion of inpatient coding disputes Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including: - Health benefits effective day 1 - Paid time off, holidays, volunteer time and jury duty pay - Recognition pay - 401(k) retirement savings plan with employer match - Tuition assistance - Scholarships for eligible dependents - Parental and caregiver leave - Employee charity matching program - Network Resource Groups (NRGs) - Career development opportunities Use your skills to make an impact Required Qualifications - RHIA, RHIT or CCS Certification (have held at least one of these qualifications for 4 years) - MS-DRG coding/auditing experience - 3+ years' experience performing inpatient coding reviews/ audits in health insurance and/or hospital settings - Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel - Can work independently and determine appropriate course of action - Excellent communication skills both written and verbal Preferred Qualifications - Associate's Degree or higher in Health Information Management (HIM) - Experience in APR DRG coding/auditing - Experience in Financial Recovery - Experience in a fast paced, metric driven operational setting Additional Information Work-At-Home Requirements - To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. - Satellite, cellular and microwave connection can be used only if approved by leadership. - Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. - Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. - Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Our Hiring Process As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected, you will receive correspondence inviting you to participate in a HireVue assessment. You will have a set of questions and you will provide responses to each question. You should anticipate this to take about 10-15 minutes. Your answers will be reviewed, and you will subsequently be informed if you will be moving forward to next round. #LI-LM1 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 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 Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision 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: 04-10-2026 About us About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. ​ 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.

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review 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). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact WORK STYLE: Remote/work at home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. WORK HOURS: Typical business hours are Monday-Friday, 8 hours/day, 5 days/week, scheduled between 6AM-6PM. Some flexibility might be possible, depending on business needs. Required Qualifications | What it takes to Succeed • RHIA, RHIT or CCS Certification (should have held at least one of these qualifications for 4 years) • MS-DRG coding/auditing experience • Experience reading and interpreting claims • Experience in performing inpatient coding reviews/ audits in health insurance and/or hospital settings • Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel • Strong attention to detail • Can work independently and determine appropriate course of action • Ability to handle multiple priorities • Capacity to maintain confidentiality • Excellent communication skills both written and verbal Preferred Qualifications • Experience in APR DRG coding/auditing • Experience in Financial Recovery • Experience in a fast paced, metric driven operational setting Additional Information Work at 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 the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. • Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Interview Format As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Hire Vue (formerly Modern Hire) to enhance our hiring and decision-making ability. Hire Vue (formerly Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 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 Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision 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: 04-16-2026 About us About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. ​ 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.

Franklin Energy is redefining the clean energy future as the only integrated provider of comprehensive solutions, combining unmatched expertise in strategic consulting, program delivery, product solutions, and design/build services. Powered by our advanced AI-driven technology platforms, we deliver seamless, tech-driven support across the entire energy service ecosystem to accelerate impactful change and ensure an unmatched customer experience. Since 1994, Franklin Energy has been a trusted partner in protecting communities and our planet, paving the way for a sustainable future for all. Learn more at www.franklinenergy.com and join us in leading the clean energy revolution. Position Summary We provide our utility clients with a wide range of energy-saving and renewable energy solutions. From individual utility customers and construction contractors, to utilities, municipalities, and government bodies, our clients have come to depend on our customized energy efficiency programs to help them to meet their energy-saving goals. Franklin Energy has developed numerous software products that are included as part of our program delivery, in addition to some limited direct software sales and consulting agreements. The Energy Auditor – Virtual will virtually inspect buildings to assess current energy use, then make recommendations to optimize efficiency and minimize cost. This role is primarily responsible for completing virtual walk-through energy efficiency assessments, providing instruction for customers to install energy efficiency equipment and products, and for deepening customer awareness of and participation in rebate programs and the utility’s demand-side management programs. You will also be working with others who are passionate about energy efficiency and making a positive impact on the industry. Essential Duties and Responsibilities This list of duties and responsibilities is not all-inclusive and may be expanded to include other duties and responsibilities, as management may deem necessary from time to time. - In advance of appointments, review and analyze data, including online building site information, energy usage and customer-reported information and images, then determine preliminary opportunities for efficiency and savings. - Deliver professional, high-quality, and efficient virtual energy auditing services to utility customers over the phone, text and/or video chat. Initiate conversations regarding energy usage and build quick rapport with utility customers in a virtual setting. - Complete virtual (video, phone and/or chat) walk through energy assessments of properties that identify key natural gas and electric saving opportunities (all living space, basement/crawl space, attic, and exterior perimeter of building if safely accessible for the customer) and promote behavioral change. - Provide thorough education to end users regarding energy efficiency. Clearly explain and articulate energy assessment findings to building owner including explanation of energy efficiency rebates and answering related questions. - Instruct on the installation of energy saving devices including lighting, smart thermostats, hot water saving devices, and the like. - Compose and deliver audit reports containing the results of the energy analysis and recommendations for improved energy efficiency. - Actively identify and recommend ways to improve program operations and delivery. - Continuously drive improvements in quality, customer satisfaction and productivity. - Accurately complete and maintain all required paperwork, records, and documents, etc. - Follow and comply with all safety and work rules, regulations, and practices. - While this role is primarily remote, there may be times when field support may be required. Position Requirements Education and Experience - Associate degree or equivalent experience - One of the following: - Residential building construction - Heating and Air Conditioning System install, sales or service. - Other energy efficiency designations or certificates including: - Advanced Home Energy Professional (HEP) - Building Analyst - Envelope Professional - Residential Building Envelope Whole Hose Air Leakage Controller Installer - Heating - Air Conditioning and Heat Pump - Air sealing and building insulation experience. - Customer Interview & Sit Down – articulate findings and recommendations. - BPI Fundamentals or above - Two years of previous related work experience - 1-2 years of experience in marketing, community organizing, education, customer service or a related field – Virtual experience preferred. Required Skills, Knowledge, and Abilities - Excellent verbal and written communication skills. - Must be Bilingual (Spanish) - Ability to interact well with customers and coworkers in a virtual environment. - Good research and organizational skills. - Ability to explain complicated matters to a variety of individuals in a virtual environment. - Must be able to handle a wide work variety and work in a fast-paced environment. - Technologically adept. - Strong data entry skills in entering information in tracking systems/databases. - Must be a detail-oriented, organized, self-starter, and have an ability to prioritize workload. - Proficient in Microsoft Office, specifically Word, Excel, and Outlook. - Basic understanding of methods used for technical and cost savings analysis and reporting. - Basic understanding of energy modeling software. - Basic understanding of energy conservation principles and techniques. Licenses & Certifications - Valid driver’s license Travel Requirements - Willingness to travel less than 10% of the time. The above information describes the general duties and requirements necessary to perform the principal functions of the position. This shall not be construed as a detailed description of all the duties and requirements that may be necessary in this position. An Equal Opportunity Employer Note: Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position. The above information describes the general duties and requirements necessary to perform the principle functions of the position. This shall not be construed as a detailed description of all the duties and requirements that may be necessary in this position. An Equal Opportunity Employer Safety -Sensitive Role Addendum: Because many roles at Franklin Energy involve regulatory compliance, safety responsibilities, or professional licensing requirements, it is critical that interview responses reflect the candidate’s direct knowledge and experience. Misrepresentation of technical or safety qualifications may result in immediate removal from consideration. Notice Regarding Automated Tools: We may use automated or AI-assisted tools as part of our candidate evaluation process to assess job-related skills and qualifications. These tools are intended to support fair and consistent review and do not replace human judgment in hiring decisions. All evaluations are conducted in accordance with applicable local, state, and federal laws.

• Complete audits for Property & Casualty insurance policies (Workers’ Compensation and General Liability). • Work directly with policyholders or their contacts via phone to obtain payroll and accounting records. • Accurately evaluate and apply correct classifications and exposure amounts. • Manage assignments provided through our web-based production system. • Ensure accuracy, compliance, and customer satisfaction in all audit work.