Risk Adjustment Coder

🔥 0 minutes ago

🐎 Kentucky, Texas, +3 more states – Remote

🐎 Kentucky – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ☕ Washington – Remote

💵 $48.3k - $65.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

⚕️ Healthcare Insurance

Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• conducts quality assurance coding of medical records and ICD-10 diagnosis codes • assumes ownership and leads advanced and specialized administrative/operational/customer support duties • ensures coding is accurate and supported by clinical documentation • reviews medical records to report conditions that map to HCCs by applying the appropriate ICD-10 diagnosis codes • follows state and federal regulations and internal policies while analyzing coding info • works on projects that may include making phone calls to providers • participates on special projects in addition to daily responsibilities

🎯 Requirements

• At least one of the certifications from AAPC or AHIMA are required from the list below: CPC or CPC-A - Certified Professional Coder (AAPC) COC - Certified Outpatient Coder (AAPC) CIC - Certified Inpatient Coder (AAPC) CRC - Certified Risk Coder (AAPC) CCA - Certified Coding Associate (AHIMA) CCS - Certified Coding Specialist (AHIMA) CCS-P - Certified Coding Specialist-Physician Based (AHIMA) • Experience working in a goal-oriented environment that is production and quality driven. • Must maintain annual continuing education requirements and remain in good standing with the coding credentialing body, AAPC or AHIMA. • Must be able to attend a 3 week virtual classroom training, Monday-Friday 8am- 4:30pm Eastern time • Must be able to work 40 hours a week, Monday – Friday, with the ability to work mandatory overtime as needed to support business needs. • Must have a confidential work space in order to work effectively and independently without distractions. • Proficient using relevant technology including the ability to navigate multiple software applications and perform tasks using digital tools.

🏖️ Benefits

• medical, dental and vision benefits • 401(k) retirement savings plan • time off (including paid time off, company and personal holidays, paid parental and caregiver leave) • short-term and long-term disability • life insurance