Become a part of Humana's caring community as a Risk Adjustment Coder.
This role conducts quality assurance coding of medical records and ICD-10 diagnosis codes submitted to CMS and other government agencies. The position ensures coding is accurate and properly supported by clinical documentation within the health record.
The role involves reviewing medical records to identify conditions that map to HCCs, applying ICD-10 diagnosis codes, following state and federal regulations, and supporting special projects as needed. This is a remote position with training provided in a virtual classroom.
Required Qualifications
- One of the following certifications is required:
- CPC or CPC-A
- COC
- CIC
- CRC
- CCA
- CCS
- CCS-P
- Experience working in a goal-oriented environment that is production and quality driven
- Must maintain annual continuing education requirements and remain in good standing with AAPC or AHIMA
- Ability to attend 3 weeks of virtual classroom training, Monday-Friday, 8:00am-4:30pm Eastern Time
- Ability to work 40 hours per week, Monday-Friday, with mandatory overtime as needed
- Must have a confidential workspace free from distractions
- Proficiency with computers, digital tools, and multiple software applications
Preferred Qualifications
- Proficiency with Microsoft Word and Excel
- Risk adjustment experience
- HCC coding experience
Benefits
- Medical, dental, and vision insurance
- 401(k) retirement savings plan
- Paid time off
- Company and personal holidays
- Paid parental and caregiver leave
- Short-term and long-term disability
- Life insurance
- Other wellness-focused benefits
Location
Nevada, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$48,300 - $65,900
Remote work allowed
Yes
Posted
1 week ago