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 the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The position ensures coding is accurate and supported by clinical documentation within the health record.
The role includes reviewing medical records to identify conditions that map to HCCs, applying appropriate ICD-10 diagnosis codes, following state and federal regulations, and supporting special projects as needed. The position works with limited oversight and may include phone outreach to providers.
Required
- At least one active coding certification from AAPC or AHIMA:
- CPC or CPC-A
- COC
- CIC
- CRC
- CCA
- CCS
- CCS-P
- Experience in a goal-oriented, production-driven, quality-driven environment
- Ability to 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, 8:00am-4:30pm 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
- 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
Arkansas, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$48,300 - $65,900
Remote work allowed
Yes
Posted
1 week ago