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Senior Medical Coding Professional, Inpatient

Company

Humana

Location

Raleigh, NC

Posted

July 07, 2026

Position Overview

**Become a part of our caring community**
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.
**Key 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
**Use your skills to make an impact**
**Required Qualifications**
+ Required: 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 s...

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