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 proper clinical documentation support within the health record.
Responsibilities include reviewing medical records to identify conditions that map to HCCs, applying appropriate ICD-10 diagnosis codes, following state and federal regulations and internal guidelines, supporting special projects, and occasionally contacting providers.
Must have at least one of the following certifications:
- CPC or CPC-A (AAPC)
- COC (AAPC)
- CIC (AAPC)
- CRC (AAPC)
- CCA (AHIMA)
- CCS (AHIMA)
- CCS-P (AHIMA)
Additional qualifications:
- Experience 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 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
- Must have a confidential, distraction-free work space
- Proficiency with computers and the ability to navigate multiple software applications and digital tools
- 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
Mississippi, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$48,300 - $65,900
Remote work allowed
Yes
Posted
1 week ago