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Risk Adjustment Coder

Humana

Become part of a caring community as a Risk Adjustment Coder responsible for quality assurance coding of medical records and ICD-10 diagnosis codes submitted to CMS and other government agencies.

This role ensures coding is accurate and properly supported by clinical documentation within the health record. The position includes independent work within broad guidelines, special projects, and occasional communication with providers.

Requirements & Qualifications

Required qualifications

  • One of the following certifications is required:
    • CPC or CPC-A
    • COC
    • CIC
    • CRC
    • CCA
    • CCS
    • 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 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
  • Must have a 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 insurance
  • 401(k) retirement savings plan
  • Paid time off, company holidays, paid parental leave, and caregiver leave
  • Short-term and long-term disability insurance
  • Life insurance

Location

Pennsylvania, 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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