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Risk Adjustment Coder

Humana

The Risk Adjustment Coder performs quality assurance coding of medical records and ICD-10 diagnosis codes submitted to CMS and other government agencies.

This role is responsible for ensuring coding accuracy and proper support from clinical documentation within the health record. The position operates with broad guidelines and limited oversight, and may involve occasional provider outreach and special projects.

Training is conducted in a virtual remote classroom for the first 3 weeks. After training, the role follows a Monday through Friday schedule for 40 hours per week, within the employee’s time zone, with occasional overtime as needed.

Requirements & Qualifications

Required

  • One of the following certifications is required: CPC, CPC-A, COC, CIC, CRC, CCA, CCS, or CCS-P
  • Experience in a production- and quality-driven, goal-oriented 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 through Friday, 8:00 AM to 4:30 PM Eastern Time
  • Ability to work 40 hours per week Monday through Friday, with mandatory overtime as needed
  • 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 & Perks

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

Massachusetts, 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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