Become part of Humana's caring community as a Risk Adjustment Coder responsible for quality assurance coding of medical records and ICD-10 diagnosis codes submitted to CMS and other government agencies.
This role ensures coding accuracy and appropriate clinical support within the health record. The position involves reviewing medical records, applying diagnosis codes that map to HCCs, following state and federal regulations, supporting projects that may include provider outreach, and working with limited oversight.
Training is provided in a virtual classroom for the first 3 weeks. After training, the role is remote and follows a Monday through Friday schedule within the employee's own time zone, with occasional overtime as needed.
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- and quality-driven environment
- Must maintain annual continuing education and remain in good standing with AAPC or AHIMA
- Ability to attend 3 weeks of 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
- Must have a confidential, distraction-free workspace
- Proficiency with computers, multiple software applications, and digital tools
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 wellness and family support benefits
Location
Kentucky, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$48,300 - $65,900
Remote work allowed
Yes
Posted
1 week ago