Become a part of Humana's caring community as a Risk Adjustment Coder. This role conducts quality assurance coding of medical records and ICD-10 diagnosis codes submitted to CMS and other government agencies. The position ensures coding is accurate and supported by clinical documentation in the health record.
The role involves reviewing medical records to identify conditions that map to HCCs, applying appropriate ICD-10 diagnosis codes, following state and federal regulations, and supporting operational projects. The position works with limited oversight and may include occasional phone calls to providers and special projects.
Required qualifications
- 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)
- Experience in a goal-oriented, production-driven, and quality-driven environment
- Must maintain annual continuing education requirements and remain in good standing with AAPC or AHIMA
- Ability to attend a 3-week virtual classroom training, Monday-Friday, 8:00 AM-4:30 PM Eastern Time
- Ability to work 40 hours per week, Monday-Friday, with mandatory overtime as needed
- Confidential work space with no distractions
- Proficiency with computers, digital tools, and multiple software applications
- Strong written and verbal communication skills
- Professional demeanor, strong work ethic, and ability to work independently and as part of a team
Preferred qualifications
- Proficiency with Microsoft Word and Excel
- Risk adjustment experience
- HCC coding experience
Benefits
- 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
Minnesota, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$48,300 - $65,900
Remote work allowed
Yes
Posted
1 week ago