Become part of a caring community as a Risk Adjustment Coder supporting 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. You will review medical records, apply appropriate ICD-10 diagnosis codes, and help report conditions that map to HCCs. The position involves independent judgment, broad guidelines, and participation in special projects.
Training is conducted virtually for the first 3 weeks, Monday through Friday from 8:00 a.m. to 4:30 p.m. Eastern Time. After training, you will work 40 hours per week Monday through Friday within your own time zone, with occasional overtime as needed.
This is a remote position, though occasional travel to Humana offices for training or meetings may be required.
At least one of the following certifications is required:
- CPC or CPC-A
- COC
- CIC
- CRC
- CCA
- CCS
- CCS-P
Additional qualifications:
- Experience working in a goal-oriented, production- and quality-driven environment
- 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 through Friday, 8:00 a.m. to 4:30 p.m. Eastern Time
- Ability to work 40 hours per week Monday through Friday, with mandatory overtime as needed
- Must have a confidential workspace free from distractions
- Proficiency with computers, multiple software applications, and digital tools
- Strong written and verbal communication skills
- Professional demeanor, strong work ethic, and ability to work independently
Preferred qualifications:
- Proficiency with Microsoft Word and Excel
- Risk adjustment experience
- HCC coding experience
Humana offers competitive benefits, 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
- Additional well-being and family support benefits
Location
South Carolina, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$48,300 - $65,900
Remote work allowed
Yes
Posted
1 week ago