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 accuracy and that diagnoses are properly supported by clinical documentation in the health record.
The position is remote with training completed in a virtual classroom for the first three weeks. After training, the role follows a Monday through Friday schedule within the employee’s own time zone, with occasional overtime as needed.
At least one of the following coding certifications is required:
- CPC or CPC-A
- COC
- CIC
- CRC
- CCA
- CCS
- CCS-P
Additional requirements:
- Experience in a goal-oriented, production- and quality-driven environment
- Ability to maintain annual continuing education requirements and remain in good standing with AAPC or AHIMA
- Ability to attend a 3-week virtual classroom training, Monday through Friday, 8:00 AM to 4:30 PM Eastern Time
- Ability to work 40 hours per week, Monday through Friday, with mandatory overtime as needed
- Dedicated confidential workspace free from distractions
- Proficiency with computers, multiple software applications, and digital tools
- Effective written and verbal communication skills
- Ability to work with little oversight and exercise independent judgment
Preferred qualifications:
- Microsoft Word and Excel proficiency
- Risk adjustment experience
- HCC coding experience
Humana offers benefits designed to support whole-person well-being, including:
- Medical, dental, and vision coverage
- 401(k) retirement savings plan
- Paid time off, company holidays, and personal holidays
- Paid parental and caregiver leave
- Short-term and long-term disability
- Life insurance
Location
Connecticut, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$48,300 - $65,900
Remote work allowed
Yes
Posted
1 week ago