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Risk Adjustment Coder

Humana

The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes submitted to CMS and other government agencies. This role ensures coding accuracy and documentation support within the health record, and may involve provider outreach, special projects, and limited oversight.

Requirements & Qualifications
  • One of the following certifications is required:
    • CPC or CPC-A (AAPC)
    • COC (AAPC)
    • CIC (AAPC)
    • CRC (AAPC)
    • CCA (AHIMA)
    • CCS (AHIMA)
    • CCS-P (AHIMA)
  • 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 a 3-week 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
  • Strong written and verbal communication skills
  • Professional demeanor, strong work ethic, and ability to work independently
  • Preferred:
    • Microsoft Word and Excel proficiency
    • Risk adjustment experience
    • HCC coding experience
Benefits & Perks
  • Medical, dental, and vision benefits
  • 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
  • Other competitive whole-person well-being benefits

Location

Vermont, US

Employment Type

Full-time

Experience Level

Intermediate Level

Salary Range

$48,300 - $65,900

Remote work allowed

Yes

Posted

1 week ago

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