Risk Adjustment Professional 2
Humana
full-time
Posted on:
Location Type: Remote
Location: Oklahoma • Texas • United States
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Salary
💰 $65,000 - $88,600 per year
About the role
- Conduct quality assurance audits of medical records and ICD-10 diagnosis codes
- Support risk adjustment staff, processes and medical record retrieval activities
- Review and analyze coding information and medical records to support compliance and accuracy
- Participate in provider education programs focused on coding compliance as needed
- Serve as a liaison between market and corporate teams, promoting clear communication and alignment of objectives
- Collaborate with other departments to facilitate cross-functional initiatives and problem-solving
- Make independent decisions regarding work methods
Requirements
- Minimum of 3 years of experience in the healthcare industry
- Proven medical record retrieval experience
- Demonstrated understanding of regulatory and compliance standards related to risk adjustment
- Proficiency in Microsoft Office applications, including Word, Excel, and PowerPoint
- Strong professional written and verbal communication skills, with demonstrated analytical, organizational, and time management abilities
- History of effective cross-departmental collaboration
- Ability to multi-task and adapt to shifting priorities in a fast-paced environment
- Previous experience in delivering individual and team training
- Willingness and ability to travel up to 10% of the time within the specified region (Texas, Arkansas, and/or Oklahoma)
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance and many other opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10 diagnosis codesmedical record retrievalregulatory compliancerisk adjustmentquality assurance auditscoding compliancedata analysis
Soft Skills
written communicationverbal communicationanalytical skillsorganizational skillstime managementcross-departmental collaborationproblem-solvingadaptabilitymulti-tasking