Risk Adjustment Coding Professional 1

🕒 August 13

🇺🇸 United States – Remote

💵 $53.7k - $72.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🎲 Risk

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 36%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

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

• Conduct quality assurance audits of medical records and ICD-9/10 diagnosis codes submitted to CMS and other government agencies • Ensure coding is accurate and properly supported by clinical documentation within the health record • Follow state and federal regulations, internal policies and coding guidelines • Analyze coding information and medical records • Participate in provider education programs on coding compliance • Make decisions regarding work approach and priorities while following direction • Attend occasional travel for coding conferences or team-building events, limited to 5%

🎯 Requirements

• Certified Coder Certification - CPC, CCS or CCA • 3 years of related coding and Risk Adjustment experience • Proficiency in all Microsoft Office Programs including Word, PowerPoint, Excel, Access, etc. • Demonstrated ability to balance multiple high priority tasks and meet internal and external deadlines • Strong collaboration and relationship building skills • Must be willing to work an 8-hour shift, Monday - Friday • Start time must be between 6:00AM and 8:30AM Eastern Standard Time • Must have high-speed DSL or cable modem for a home office • Minimum internet speed of 25 Mbps download and 10 Mbps upload • Satellite and wireless internet service is not allowed • Must have a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information • Preferred: Prior audit experience • Preferred: Strong analytical, organizational and time management skills • Preferred: Strong knowledge of ICD-10 coding/managed care

🏖️ Benefits

• Medical, dental and vision benefits • 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 • Internet expense payment for associates or contractors who live and work from home in California • Occasional travel to Humana offices for training or meetings may be required