Become a part of our caring community and help us put health first
The Risk Adjustment Coder conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment.
The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record.
- Follows state and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records.
- Works projects that may include making phone calls to providers.
- Works within broad guidelines with little oversight.
- Implement a professional demeanor, strong work ethic, reliable, resourceful, enthusiastic team player, positive attitude.
- Utilize effective written and verbal communication skills.
- Apply working knowledge of computers, and a demonstrated technical aptitude and an ability to quickly learn new systems.
- Will participate on special projects, in addition to daily responsibilities, that may involve overtime.
Use your skills to make an impact
Required Qualifications
At least one of the certifications from AAPC or AHIMA are required from the list below:
- Certified Professional Coder - Apprentice (CPC-A)
- Certified Professional Coder (CPC)
- Certified Coding Specialist (CCS)
- Certified Coding Associate (CCA)
- Must maintain annual continuing education requirements and remain in good standing with the certification governing body.
- Must be able to work 40 hours a week, Monday - Friday, with ability to work overtime as needed to support the business.
- Must have good working knowledge of computers, and a demonstrated technical aptitude and an ability to quickly learn new systems.
Preferred Qualifications
- Proficient in the use of Microsoft Office systems Word and Excel
- Risk Adjustment Experience
- Coding experience
Scheduled Weekly Hours
40
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.