Conduct quality assurance coding of medical records and ICD-10 diagnosis codes submitted to CMS and other government agencies.
Ensure coding is accurate and properly supported by clinical documentation within the health record.
Review records to identify conditions that map to HCCs, apply appropriate diagnosis codes, follow regulatory and internal guidelines, and support special projects as needed.
This is a remote role with a 3-week virtual training period followed by a 40-hour workweek.
At least one of the following certifications is required:
- CPC or CPC-A
- COC
- CIC
- CRC
- CCA
- CCS
- CCS-P
Additional requirements:
- 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-4:30 PM Eastern Time
- Ability to work 40 hours per week, Monday-Friday, with mandatory overtime as needed
- Confidential, distraction-free workspace
- Proficiency with computers, multiple software applications, and digital tools
- Proficient written and verbal communication skills
Preferred qualifications:
- Microsoft Office Word and Excel proficiency
- 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, paid parental leave, and caregiver leave
- Short-term and long-term disability
- Life insurance
- Additional wellness and employee support benefits
Location
Nebraska, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$48,300 - $65,900
Remote work allowed
Yes
Posted
1 week ago