[Hiring] Risk Adjustment Coding Professional @Humana

Role Description

The Risk Adjustment Coding Professional conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The work assignments are often straightforward and of moderate complexity.

• Ensures coding is accurate and properly supported by clinical documentation within the health record.
• Follows state and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records.
• May participate in provider education programs on coding compliance.
• Understands own work area professional concepts/standards, regulations, strategies, and operating standards.
• Makes decisions regarding own work approach/priorities and follows direction.
• Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.

Qualifications

• Certified Coder Certification - CPC, CCS or CCA.
• 3 years of related coding and Risk Adjustment experience.
• Proficiency in all Microsoft Office Programs including Word, PowerPoint, Excel, Access, etc.
• Demonstrated ability to balance multiple high priority tasks and meet internal and external deadlines.
• Strong collaboration and relationship building skills.

Requirements

• Mandatory overtime may be required.
• Must be willing to work an 8-hour shift, Monday - Friday. Start time can be on the hour or half hour between 6:00AM and 8:30AM Eastern Standard Time.
• May be authorized travel to attend Coding conference and or team building event, but not more than 5%.

Benefits

• Competitive benefits that support whole-person well-being.
• Medical, dental and vision benefits.
• 401(k) retirement savings plan.
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave).
• Short-term and long-term disability.
• Life insurance and many other opportunities.

Scheduled Weekly Hours

• 40 hours per week.

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$53,700 - $72,600 per year

Application Deadline

10-22-2026

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.