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Risk Adjustment Coder

Humana

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 that documentation is properly supported in the health record.

Work is performed remotely after a 3-week virtual training period. The position may include special projects, provider outreach, and occasional overtime to support business needs.

Requirements & Qualifications

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 requirements and remain in good standing with AAPC or AHIMA
  • Ability to attend 3 weeks of virtual classroom training, Monday-Friday, 8:00 AM to 4:30 PM Eastern Time
  • Ability to work 40 hours per week, Monday-Friday, with mandatory overtime as needed
  • Dedicated confidential workspace with no distractions
  • Proficiency with computers, multiple software applications, and digital tools

Preferred Qualifications

  • Microsoft Office proficiency, especially Word and Excel
  • Risk adjustment experience
  • HCC coding experience
Benefits & Perks

Humana offers competitive benefits, including:

  • Medical, dental, and vision coverage
  • 401(k) retirement savings plan
  • Paid time off, company holidays, parental leave, and caregiver leave
  • Short-term and long-term disability coverage
  • Life insurance
  • Additional wellness and support benefits

Location

Alabama, US

Employment Type

Full-time

Experience Level

Associate

Salary Range

$48,300 - $65,900

Remote work allowed

Yes

Posted

1 week ago

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