The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes submitted to CMS and other government agencies. This role ensures coding is accurate and properly supported by clinical documentation within the health record.
The position involves independent work within broad guidelines, supporting operational and customer service tasks, and may include special projects and occasional provider outreach.
At least one of the following certifications is required:
- CPC or CPC-A (AAPC)
- COC (AAPC)
- CIC (AAPC)
- CRC (AAPC)
- CCA (AHIMA)
- CCS (AHIMA)
- CCS-P (AHIMA)
Additional requirements:
- Experience working in a goal-oriented, production-driven, quality-driven environment
- Ability to 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, 8:00 AM to 4:30 PM 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 using relevant technology, including multiple software applications and digital tools
- Strong written and verbal communication skills
- Professional demeanor, strong work ethic, and ability to work independently
- Preferred: Microsoft Word and Excel proficiency
- Preferred: Risk Adjustment experience
- Preferred: HCC coding experience
Humana offers competitive benefits, including:
- Medical, dental, and vision coverage
- 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
Location
Michigan, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$48,300 - $65,900
Remote work allowed
Yes
Posted
1 week ago