Role Description 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. 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. Requirements - Associate's Degree or higher in Health Information Management (HIM) (preferred). - Experience in APR DRG coding/auditing (preferred). - Experience in Financial Recovery (preferred). - Experience in a fast-paced, metric-driven operational setting (preferred). Benefits - 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. Company Description 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. - 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.