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- Tasks: Review medical claims and ensure correct coding guidelines are met.
- Company: Join a caring community focused on health and consumer experiences.
- Benefits: Remote work, flexible hours, and competitive pay.
- Why this job: Make a real impact in healthcare while working from home.
- Qualifications: 3+ years of coding experience and relevant certifications required.
- Other info: Minimal travel for onsite meetings; strong focus on professional growth.
The predicted salary is between 36000 - 60000 £ per year.
Become a part of our caring community and help us put health first. 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, analyses, 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. Reviews medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines. Utilises encoders and various coding resources. Performs CPT Procedure reviews. Maintains strict patient and physician confidentiality and follows all federal, state and hospital guidelines for release of information. Maintains current working knowledge of ICD-10 and CPT coding principles, government regulation, protocols.
WORK STYLE: Remote/Work at home; minimal travel may be required for onsite meetings.
WORK HOURS: Associates will work on EST, regardless of where the associate resides. Work hours can vary, slightly, but all associates start between 6AM-9AM EST. Some flexibility is available, depending on business needs.
Required Qualifications- Minimum of 3+ years post certification experience
- Outpatient Specialty Surgeries and Procedures for Physicians
- RHIA, RHIT, CCS, CPC, or COC Certification
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences
- STRONGLY PREFERRED: Experience with coding/auditing multispecialty surgical procedures.
- Experience with coding/auditing Professional Inpatient Claims
- Experience in Select Coder, 3M
- Experience with the Claims Life Cycle
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.
Medical Coding Auditor in Swindon employer: Humana
Contact Detail:
Humana Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Medical Coding Auditor in Swindon
✨Tip Number 1
Network like a pro! Reach out to your connections in the medical coding field and let them know you're on the hunt for a Medical Coding Auditor role. You never know who might have the inside scoop on job openings or can put in a good word for you.
✨Tip Number 2
Brush up on your skills! Make sure you're up-to-date with ICD-10 and CPT coding principles. Consider taking a quick online course or attending a webinar to refresh your knowledge. This will not only boost your confidence but also show potential employers that you're committed to continuous improvement.
✨Tip Number 3
Prepare for interviews by practising common questions related to medical coding audits. Think about scenarios where you've had to make independent decisions or clarify medical information. We want you to shine when it comes to showcasing your experience and problem-solving skills!
✨Tip Number 4
Don't forget to apply through our website! It's the best way to ensure your application gets noticed. Plus, we love seeing candidates who are proactive and engaged. So, get your application in and let's get you on board!
We think you need these skills to ace Medical Coding Auditor in Swindon
Some tips for your application 🫡
Tailor Your CV: Make sure your CV highlights your experience with medical coding and auditing. We want to see how your skills align with the role, so don’t be shy about showcasing your certifications and relevant work history!
Craft a Compelling Cover Letter: Your cover letter is your chance to shine! Use it to explain why you’re passionate about medical coding and how you can contribute to our caring community. Keep it concise but impactful!
Showcase Your Technical Skills: Since this role involves using various coding resources and databases, mention any specific tools or software you’re familiar with. We love seeing candidates who are tech-savvy and ready to hit the ground running!
Apply Through Our Website: We encourage you to apply directly through our website. It’s the best way for us to receive your application and ensures you’re considered for the role. Plus, it’s super easy!
How to prepare for a job interview at Humana
✨Know Your Codes
Brush up on your ICD-10 and CPT coding principles before the interview. Being able to discuss specific coding scenarios or recent changes in guidelines will show that you're not just familiar with the basics, but that you’re also proactive about staying current in your field.
✨Showcase Your Experience
Prepare to share specific examples from your 3+ years of experience, especially related to outpatient specialty surgeries and procedures. Highlight any challenges you've faced and how you resolved them, as this demonstrates your problem-solving skills and ability to work independently.
✨Understand the Company Culture
Research the company’s mission and values, particularly their focus on improving consumer experiences. Be ready to explain how your personal values align with theirs and how you can contribute to their caring community.
✨Prepare for Remote Work Questions
Since this role is remote, be prepared to discuss your home office setup and how you manage your time effectively. Mention your internet speed and any tools you use to stay organised, as this shows you’re ready to hit the ground running.