Humana

Risk Adjustment Representative

Humana(1 month ago)

RemoteFull TimeMedior$40,000 - $52,300Healthcare
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About this role

The Risk Adjustment Representative 2 conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes and performs moderately complex administrative and customer support tasks. This role ensures accuracy in coding and compliance with regulations while working under minimal direction and contributing to provider education programs on coding compliance.

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Required Skills

  • Customer Service
  • Medical Records
  • ICD-9/10 Coding
  • Microsoft Office

Qualifications

  • 1 or more years of Customer Service experience
  • Experience with Medical records
  • Experience with Medical terminology
  • Knowledge and experience in health care environment/managed care
Humana

About Humana

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