Inpatient Medical Coding Auditor

Humana

. Review appropriate DRG and ICD-10-CM/PCS coding assignments for accuracy within the appeals team .

Posted 9/22/2026full-timeRemote • United StatesJuniorMid-Level💰 $71,100 - $97,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in DRG and ICD-10-CM/PCS coding accuracy, compliance, and auditing processes, with a strong focus on effective communication and collaboration with coding professionals. Proven ability to manage multiple priorities while ensuring timely completion of coding appeals and adherence to industry guidelines.

Highest-signal resume keywords

RHIA CertificationICD-10-CM/PCS CodingMS-DRG AuditingCoding Guidelines ComplianceExcellent Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Inpatient CodingCoding AuditsClaims InterpretationAttention to DetailCoding Dispute Resolution

Soft Skills

Ability to Work IndependentlyStrong Organizational Skills

Tools & Technologies

Microsoft Office WordMicrosoft Office PowerPointMicrosoft Office ExcelCMS ManualLCDNCD

Certifications & Qualifications

RHIT CertificationCCS Certification

Industry Keywords

DRGICD-10PHIHIPAAConsumer Experience Improvement

About the role

Key responsibilities & impact

Review appropriate DRG and ICD-10-CM/PCS coding assignments for accuracy within the appeals team
Consult and collaborate with coding professionals within and across departments on coding disputes
Ensure accountability of coding dispute outcomes for timeliness, compliance, and quality
Conduct inpatient coding audits involving MSDRG/APDRG
Ensure accuracy and compliance of coding appeal reviews using applicable coding guidelines
Communicate appeals outcomes to providers professionally and concisely
Make coding decisions based on industry guidelines and best practices
Manage multiple priorities and ensure timely completion of inpatient coding appeals
Report to the Manager

Requirements

What you’ll need

RHIA, RHIT, or CCS Certification
At least 2 years' experience in acute in-patient coding experience and/or MS-DRG auditing
Recent experience auditing using CMS Manual, LCD, NCD, and Coding Guidelines
Experience reading and interpreting claims
Excellent written and verbal communication skills
Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel
Strong attention to detail
Ability to work independently and determine appropriate course of action
Passion for contributing to an organization focused on continuously improving consumer experiences
Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
Internet connection with minimum download speed of 25 Mbps and upload speed of 10 Mbps
Ability to start each workday between 6AM–9AM EST
Occasional travel to Humana offices for training or meetings may be required

Benefits

Comp & perks

Bonus incentive plan based on company and/or individual performance
Medical, dental, and vision benefits
401(k) retirement savings plan
Paid time off
Company and personal holidays
Paid parental and caregiver leave
Short-term and long-term disability
Life insurance
Internet expense payment for employees working from home in California, Illinois, Montana, or South Dakota
Telephone equipment appropriate to business requirements
Remote work from home
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