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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.

Ensure coding is accurate and properly supported by clinical documentation within the health record.

Work is performed with broad guidelines and limited oversight, with responsibility for specialized administrative and operational support duties. The role may include occasional provider phone calls, special projects, and mandatory overtime when needed.

Requirements & Qualifications

Must have at least one of the following certifications:

  • CPC or CPC-A (AAPC)
  • COC (AAPC)
  • CIC (AAPC)
  • CRC (AAPC)
  • CCA (AHIMA)
  • CCS (AHIMA)
  • CCS-P (AHIMA)

Additional qualifications:

  • Experience in a goal-oriented, production- and 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, 8:00 AM to 4:30 PM Eastern Time
  • Ability to work 40 hours per week Monday-Friday, with mandatory overtime as needed
  • Confidential work space free from distractions
  • Proficiency with relevant technology and multiple software applications

Preferred qualifications:

  • Proficiency with Microsoft Word and Excel
  • Risk adjustment experience
  • HCC coding experience
Benefits & Perks

Humana offers competitive benefits 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

North Carolina, 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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