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Risk Adjustment Coder

Humana

Conduct quality assurance coding of medical records and ICD-10 diagnosis codes submitted to CMS and other government agencies.

Ensure coding is accurate and properly supported by clinical documentation within the health record.

The role includes reviewing medical records to identify conditions that map to HCCs, applying appropriate ICD-10 diagnosis codes, following state and federal regulations, and supporting special projects. Some work may include phone calls to providers. After a 3-week virtual training period, the position is remote and worked Monday through Friday within your own time zone, with occasional overtime as needed.

Requirements & Qualifications
  • At least one AAPC or AHIMA certification is required: CPC, CPC-A, COC, CIC, CRC, CCA, CCS, or CCS-P.
  • Experience in a production- and quality-driven, goal-oriented environment.
  • Ability to maintain annual continuing education requirements and remain in good standing with the credentialing body.
  • Ability to attend 3 weeks of virtual classroom training, Monday-Friday from 8:00 AM to 4:30 PM Eastern Time.
  • Ability to work 40 hours per week Monday-Friday, with mandatory overtime as needed.
  • Dedicated confidential workspace with no distractions.
  • Proficiency with computers, multiple software applications, and digital tools.
  • Preferred: Microsoft Word and Excel proficiency.
  • Preferred: Risk adjustment experience.
  • Preferred: HCC coding experience.
Benefits & Perks
  • Medical, dental, and vision benefits
  • 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

Louisiana, US

Employment Type

Full-time

Experience Level

Associate

Salary Range

$48,300 - $65,900

Remote work allowed

Yes

Posted

1 week ago

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