Outpatient Medical Coding Auditor - DME

Join our compassionate community and prioritize health! Humana invites you to apply for an exciting opportunity as an Outpatient Medical Coding Auditor focused on Durable Medical Equipment (DME) auditing. In this role, you will be an essential member of the PPI Coding Disputes Team, where your expertise in medical coding will play a pivotal role in resolving provider disputes within a results-driven environment. Become part of a Fortune 100 company that values the well-being of both its employees and consumers. As a DME Outpatient Coding Auditor, you will report to the Manager and collaborate with fellow coding professionals across various departments. Your primary goal will be to uphold the highest standards of coding accuracy, compliance, and quality. Bring your extensive experience in outpatient DME coding disputes and expertise in CPT/HCPCS code assignments. Ensure accuracy by adhering to coding guidelines and professionally communicating dispute outcomes to providers. Utilize your advanced auditing skills to make informed coding decisions based on industry standards and best practices. Manage multiple priorities effectively, collaborating with peers to complete outpatient coding disputes in a timely manner. At Humana, we offer a comprehensive benefits package designed to promote the health and well-being of our employees and their families, including: Health benefits starting on day 1 Generous paid time off, including holidays and volunteer time Recognition pay for your contributions 401(k) retirement savings plan with employer matching Tuition assistance for your professional growth Scholarships available for eligible dependents Parental and caregiver leave Employee charity matching program Network Resource Groups (NRGs) for support and connection Opportunity for career development and advancement Use your coding skills to make a meaningful impact! Required Qualifications: CPC or CCS Certification Experience in CPT/HCPCS auditing 1+ years of experience analyzing and interpreting claims 3+ years of experience performing DME coding audits in health insurance or hospital settings, along with handling coding-related disputes and analyzing results Proficient in Microsoft Office programs including Word, PowerPoint, and Excel Capable of working independently and making sound decisions Excellent written and verbal communication skills Preferred Qualifications: Associate's Degree or higher in Health Information Management (HIM) Experience in Financial Recovery Background in a fast-paced, metrics-driven operational environment Additional Information: Work-At-Home Requirements: To ensure effective remote work, internet service must meet the following criteria: minimum download speed of 25 Mbps and upload speed of 10 Mbps; wired, cable, or DSL connections are recommended. Satellite, cellular, or microwave connections are only allowed with prior approval. Employees residing in California, Illinois, Montana, or South Dakota will receive bi-weekly payments for internet expenses. Humana will provide necessary telephone equipment for your role. Dedicated workspace free from interruptions is required to protect member PHI/HIPAA information. Our Hiring Process: As part of our hiring process, we will utilize an innovative interviewing technology called HireVue. This platform allows us to quickly connect and evaluate your relevant skills and experience at a time that suits you best. If selected, you'll receive an invitation to participate in a HireVue assessment, expected to take about 10-15 minutes. Travel may occasionally be required for training or meetings at Humana's offices. Scheduled Weekly Hours: 40 Pay Range: The compensation range reflects a good faith estimate of starting base pay for full-time (40 hours per week) positions. Pay may vary based on geographic location and individual qualifications. $59,300 - $80,900 annually. This position is eligible for a bonus incentive plan, based on company and individual performance. Description of Benefits: Humana and its subsidiaries offer competitive benefits to support overall well-being, including medical, dental, and vision coverage, 401(k) retirement savings, paid time off, and more. Application Deadline: 03-03-2026 About Humana: Humana Inc. is dedicated to prioritizing health and enhancing the quality of life for many individuals and communities. We strive to deliver the necessary care and services when they are needed the most. Equal Opportunity Employer: Humana is committed to ensuring equal employment opportunities for all applicants and employees, adhering to all applicable laws regarding non-discrimination.

Created: 2026-03-06