Become part of a 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.
The role ensures coding accuracy and proper clinical documentation support within the health record. It also includes reviewing medical records for HCC-related conditions, applying ICD-10 diagnosis codes, following state and federal regulations, and supporting special projects as needed.
This is a remote position with training conducted virtually for the first 3 weeks. After training, the role is scheduled for 40 hours per week Monday through Friday within the employee's time zone, with occasional overtime as business needs require.
Required
- One of the following certifications is required: CPC, CPC-A, COC, CIC, CRC, CCA, CCS, or CCS-P
- Experience in a goal-oriented, production- and quality-driven environment
- Must maintain annual continuing education requirements and remain in good standing with the certifying body
- Ability to attend a 3-week virtual classroom training, Monday-Friday, 8:00 a.m. to 4:30 p.m. 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 and multiple software applications
Preferred
- 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 and company/personal holidays
- Paid parental and caregiver leave
- Short-term and long-term disability
- Life insurance
Location
Ohio, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$48,300 - $65,900
Remote work allowed
Yes
Posted
1 week ago