Hybrid Risk Adjustment Coding Consultant

CenterWell Senior Primary Care; West Palm Beach (FL); Hybrid; USD 59,300 - 80,900; Full time

Job summary

Humana is seeking an IPA Consultative Coding Professional to provide medical coding expertise and consultative support to Independent Practice Association affiliates nationwide. You will be the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value-based care initiatives.

You will analyze trends, triage questions in real time, research correct coding guidelines, and respond to inquiries while mentoring

Qualifications

• 3+ years of risk adjustment medical coding or risk adjustment provider education.
• Intermediate/advanced competency with MS Office programs (Excel, Word, PowerPoint).
• Must reside and be able to travel within the assigned MSO market or region.

Responsibilities

• Be the primary contact for assigned IPA providers for all coding and documentation inquiries.
• Build consultative relationships to improve coding accuracy and documentation practices.
• Deliver education based on provider-specific trends identified through chart reviews and coding analytics.
• Conduct quarterly chart reviews to evaluate coding accuracy and risk capture opportunities.
• Develop and deliver education on documentation best practices and coding optimization.
• Identify trends and partner with leadership to address systemic opportunities.

Skills

Risk adjustment coding

MS Office proficiency

Education

CCS/CRC/CPC certification

Tools

Excel

Word

PowerPoint

Job description

Humana is seeking an IPA Consultative Coding Professional to provide medical coding expertise and consultative support to Independent Practice Association affiliates nationwide. You will be the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value-based care initiatives.

You will analyze trends, triage questions in real time, research correct coding guidelines, and respond to inquiries while mentoring