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Medical Coding Auditor
Job
OREGON EMPLOYMENT DEPARTMENT
Remote
Part-Time
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Job Description
Job Listing ID:
4491778Job Title:
Medical Coding Auditor Application Deadline:
Open Until FilledJob Location:
SalemDate Posted:
05/14/2026Hours Worked Per Week:
Not Provided Shift:
Not Provided Duration of Job:
Either Full or Part Time, more than 6 months You may contact this employer directly. (Obtain the contact information to print or add to your jobs.)Job Summary:
Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure trauma activations meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and physician confidentiality and follow all federal, state and hospital guidelines for release of information Maintain current working knowledge of ICD-10 and CPT coding principles, government regulation, protocols Use your skills to make an impactWORK 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 work hours are Monday-Friday, 8 hours/day, 5 days/week, between 6AM-6PM EST. Some flexibility might be possible, once training is competed and depending on business need. Required QualificationsRHIA, RHIT, CCS
Certification Minimum of 3+ years post certification experience with acute inpatient coding Experience reading & coding from trauma activations Strong knowledge of NCD/LCDs, CMS Manual, NCCI Edits, and coding guidelines Strong attention to detail, can work independently and determine appropriate course of action, & ability to handle multiple priorities Comfortable working in a production-based work environment Ability to work independently and manage workload Preferred QualificationsSTRONGLY PREFERRED
: Experience with coding/auditing Professional Inpatient Claims Experience with the Claims Life Cycle 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