Location
Montpelier, VT, United States
Posted
July 24, 2026
Job Description
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Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments.
The Certified 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 goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following:
+ Review inpatient medical records and claims to ensure accurate coding and reimbursement
+ Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes
+ Audit coding quality and identif...
Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments.
The Certified 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 goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following:
+ Review inpatient medical records and claims to ensure accurate coding and reimbursement
+ Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes
+ Audit coding quality and identif...