Job added in hotlist
Applied job
Contract job
90-day-old-job
part-time-job
Recruiter job
Employer job
Expanded search
Apply online not available
View more jobs in Bridgeport, CT
View more jobs in Connecticut

Job Details

Bilingual Medical Coding Auditor-WAH-US and Puerto Rico

Company name
Humana Inc.

Location
Bridgeport, CT, United States

Employment Type
Full-Time

Industry
Healthcare, Audit, Bilingual

Posted on
Mar 23, 2021

Apply for this job






Profile

Description

The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g. CPT) to patient records. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Medical Coding Auditor confirms correct CPT coding 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.

Review medical documentation to ensure correct coding guidelines followed

Utilize encoders and various coding resources

Conduct peer reviews to ensure compliance with coding guidelines and provide reports as needed

Maintain strict patient and physician confidentiality and follow all federal, state and hospital guidelines for release of information

Maintain current working knowledge of ICD-9, ICD-10 and CPT coding principles, government regulation, protocols

Required Qualifications

Bilingual (English/Spanish)

3 consecutive years of Outpatient coding and Outpatient auditing experience required within the last 5 years. Experience needs to include CPT surgical coding and auditing.

Certified Medical Coder with at least one of the following credentials: RHIA, RHIT, CCS or CPC through either AHIMA or AAPC

Demonstrated ability to lead process/project initiatives

Preferred Qualifications:

Associate's Degree in relevant field

Experience in Select Coder and/or 3M

5 years of consecutive Profee surgical coding and auditing

Experience in Financial recovery

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com

Similar Jobs:
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Bridgeport Connecticut Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, d...
Senior Pre-Authorization Nurse
Location : Bridgeport, CT
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Ma...
Veterinarians
Location : Southbury, CT
Professional, licensed veterinarians wanted to address health related questions and concerns about sporting dogs through a monthly column and/or question & answer columns. Writing experience is not necessary, however, s/he must ...