Risk Adjustment Representative

Humana

Risk Adjustment Representative auditing medical records and ensuring coding compliance at Humana. Supporting quality assurance and adherence to healthcare guidelines remotely with occasional travel to the office.

Posted 7/9/2026full-timeCharlotte • North Carolina • 🇺🇸 United StatesJunior💰 $40,000 - $52,300 per yearWebsite

About the role

Key responsibilities & impact

Conduct quality assurance audits of medical records and ICD-9/10 diagnosis codes
Perform varied activities and moderately complex administrative/operational/customer support assignments
Ensure coding is accurate and properly supported by clinical documentation within the health record
Follow state and federal regulations as well as internal policies and guidelines
Participate in provider education programs on coding compliance

Requirements

What you’ll need

Minimum 6 months of medical record retrieval experience
Experience in customer service within a healthcare setting
Proficiency in all Microsoft Office applications, including Word and Excel
Valid state driver's license and proof of personal vehicle liability insurance
Agreeable to occasional travel to the Humana office in Charlotte, NC and to provider locations

Benefits

Comp & perks

Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
Short-term and long-term disability
Life insurance
Opportunities for personal wellness and smart healthcare decisions

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Quality Assurance AuditsICD-9 CodingICD-10 CodingMedical Record RetrievalCoding Compliance

Soft Skills

Customer Service