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Risk Adjustment Coder

Humana

Conduct quality assurance coding of medical records and ICD-10 diagnosis codes submitted to CMS and other government agencies.

This role ensures coding accuracy and proper support within the health record, with responsibility for reviewing documentation, applying diagnosis codes, and supporting risk adjustment and HCC coding work. The position is remote after training and may include occasional provider outreach and special projects.

Requirements & Qualifications

Required qualifications

  • Active AAPC or AHIMA coding certification is required: CPC, CPC-A, COC, CIC, CRC, CCA, CCS, or CCS-P.
  • Experience working in a goal-oriented, production- and quality-driven environment.
  • Must maintain annual continuing education requirements and remain in good standing with the credentialing body.
  • Must be able to attend a 3-week virtual classroom training Monday-Friday, 8:00 AM to 4:30 PM Eastern Time.
  • Must be able to work 40 hours per week Monday-Friday with mandatory overtime as needed.
  • Must have a confidential workspace without distractions.
  • Proficient with relevant technology and multiple software applications.

Preferred qualifications

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

Competitive benefits package including:

  • 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

New York, New York, 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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