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Risk Adjustment Coding Professional 1

Humana

Become part of a caring healthcare community as a Risk Adjustment Coding Professional responsible for quality assurance audits of medical records and ICD-9/10 diagnosis codes submitted to CMS and other government agencies.

This role ensures coding accuracy and that diagnosis codes are properly supported by clinical documentation in the health record. You will follow state and federal regulations, internal policies, and coding guidelines while analyzing coding information and medical records. The position may also involve provider education on coding compliance.

This is a remote work-from-home position with occasional travel for training or team meetings.

Requirements & Qualifications

Required qualifications

  • Certified coder certification: CPC, CCS, or CCA
  • 3 years of related coding and risk adjustment experience
  • Proficiency in Microsoft Office programs, including Word, PowerPoint, Excel, and Access
  • Ability to balance multiple high-priority tasks and meet internal and external deadlines
  • Strong collaboration and relationship-building skills

Preferred qualifications

  • Prior audit experience
  • Strong analytical, organizational, and time management skills
  • Strong knowledge of ICD-10 coding and managed care

Additional role requirements

  • Mandatory overtime may be required
  • Must be willing to work an 8-hour shift, Monday through Friday, with start times between 6:00 AM and 8:30 AM Eastern Time
  • Must have high-speed home internet and a dedicated workspace free from interruptions
  • Satellite and wireless internet are not allowed
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
  • Other wellness and employee support benefits

Location

N/A

Employment Type

Full-time

Experience Level

Associate

Salary Range

$53,700 - $72,600

Remote work allowed

Yes

Posted

1 week ago

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