Humana

Risk Adjustment Professional 2

Humana(1 month ago)

RemoteFull TimeMedior$65,000 - $88,600Risk Adjustment
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About this role

The Risk Adjustment Professional 2 performs quality assurance audits of medical records and ICD-10 diagnosis codes submitted to CMS and other government agencies. The role supports risk adjustment initiatives and medical record retrieval activities, ensuring accuracy, efficiency, and regulatory compliance. This position works across teams to facilitate operational processes and alignment between market and corporate stakeholders.

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Required Skills

  • Medical Coding
  • ICD-10
  • Record Retrieval
  • Compliance
  • Microsoft Office
  • Communication
  • Analysis
  • Time Management
  • Training
  • Collaboration
Humana

About Humana

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