Conduct quality assurance coding of medical records and ICD-10 diagnosis codes submitted to CMS and other government agencies. Ensure coding is accurate and supported by clinical documentation in the health record.
This role reviews medical records to identify conditions that map to HCCs, applies appropriate ICD-10 diagnosis codes, follows state and federal regulations, and may support projects that include outreach to providers. The position works with limited oversight and includes occasional overtime and potential travel to Humana offices for training or meetings.
Required
- One of the following certifications from AAPC or AHIMA: CPC, CPC-A, COC, CIC, CRC, CCA, CCS, or CCS-P
- Experience in a goal-oriented, production-driven, quality-focused 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 from 8:00 AM to 4:30 PM Eastern Time
- Ability to work 40 hours per week, Monday-Friday, with mandatory overtime as needed
- Dedicated confidential workspace with no distractions
- Proficiency with computers, multiple software applications, and digital tools
Preferred
- Microsoft Word and Excel proficiency
- Risk adjustment experience
- HCC coding experience
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; and life insurance.
Location
Washington, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$48,300 - $65,900
Remote work allowed
Yes
Posted
1 week ago