The Risk Adjustment Coder performs quality assurance coding of medical records and ICD-10 diagnosis codes submitted to CMS and other government agencies. This role ensures coding accuracy and that diagnoses are properly supported by clinical documentation within the health record. The position involves independent judgment, specialized administrative and operational support work, and occasional communication with providers.
Must have at least one AAPC or AHIMA coding certification:
- CPC or CPC-A
- COC
- CIC
- CRC
- CCA
- CCS
- CCS-P
Additional qualifications:
- Experience in a goal-oriented, production- and quality-driven environment
- Ability to maintain annual continuing education requirements and remain in good standing with the credentialing body
- Availability for 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
- Dedicated confidential workspace free from distractions
- Proficiency with relevant technology and multiple software applications
Preferred qualifications:
- Microsoft Word and Excel proficiency
- Risk adjustment experience
- HCC coding experience
Humana offers benefits including:
- Medical, dental, and vision coverage
- 401(k) retirement savings plan
- Paid time off and company/personal holidays
- Paid parental and caregiver leave
- Short-term and long-term disability coverage
- Life insurance
Location
Tennessee, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$48,300 - $65,900
Remote work allowed
Yes
Posted
1 week ago