Senior Medical Coding Professional, Inpatient

Humana

3d • $71,100 - $97,800 • Remote

About The Position

The Senior Medical Coding Professional, Inpatient supports payment integrity initiatives by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with official guidelines. You will report to the Manager, Payment Integrity.

Requirements

• RHIA, RHIT, CCS, or CIC
• 5+ years inpatient coding experience
• Audit or validation experience
• Strong DRG knowledge (MS-DRG/APR-DRG)
• Understanding of CDI and severity of illness (SOI/ROM) concepts

Nice To Haves

• 3M Coding software experience
• BA degree
• Previous leadership experience

Responsibilities

• Review inpatient records for coding accuracy and DRG validation
• Identify anomalies for audit targeting
• Apply ICD-10-CM/PCS coding guidelines and DRG logic
• Assess how coding impacts reimbursement and severity adjustment
• Conduct retrospective audits and document findings
• Recommend adjustments, recoveries, or provider education
• Collaborate with clinical reviewers and data analysts

Benefits

• medical, dental and vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Senior