Risk Adjustment Coder

Humana

Risk Adjustment Coder at Humana ensuring quality assurance coding of medical records and ICD-10 codes. Leading administrative support with a strong coding certification requirement.

Posted 6/25/2026full-timeKentucky, Texas, Utah, Virginia, Washington • 🇺🇸 United StatesMid-LevelSenior💰 $48,300 - $65,900 per yearWebsite

About the role

Key responsibilities & impact

Conducts quality assurance coding of medical records and ICD-10 diagnosis codes
Assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties
Ensures coding is accurate and properly supported by clinical documentation within the health record
Reviews medical records to report conditions that map to HCCs
Follows state and federal regulations and internal policies
Works on projects that may include making phone calls to providers
Participates on special projects, in addition to daily responsibilities

Requirements

What you’ll need

At least one of the certifications from AAPC or AHIMA are required: CPC or CPC-A, COC, CIC, CRC, CCA, CCS, CCS-P
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
Must be able to work 40 hours a week, Monday – Friday, with the ability to work mandatory overtime as needed
Must have a confidential work space in order to work effectively and independently
Proficient using relevant technology including the ability to navigate multiple software applications and perform tasks using digital tools

Benefits

Comp & perks

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
many other opportunities

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

ICD-10 codingquality assurancemedical record reviewHCC mapping

Soft Skills

ownershipleadershipcustomer supportgoal-orientedindependence

Certifications

CPCCPC-ACOCCICCRCCCACCSCCS-P