Remote Risk Adjustment Specialist III

Humana, Inc.; Honolulu (HI); Remote; USD 43.000 - 56.000; Vollzeit

Zusammenfassung

Humana, Inc. seeks a Risk Adjustment Representative 3 to conduct quality assurance audits of medical records and ICD-9/10 codes submitted to CMS and other government agencies. The role requires independent initiative, judgment, and intermediate mathematical skills.

The position is remote with standard 40-hour weeks and occasional travel to provider offices in California. Humana offers comprehensive benefits and opportunities to contribute to risk adjustment processes and process improvements.

Qualifikationen

• High School Diploma is required.
• 3+ years of experience in healthcare environment/managed care or related fields.
• Proficiency in Word, Excel, and PowerPoint.

Aufgaben

• Manage sites assigned and track records received to meet goals.
• Document daily progress and complete productivity reports.
• Research site information and update records internally.

Kenntnisse

MS Office Suite

Communication

Time management

Travel readiness

Ausbildung

High School Diploma

Jobbeschreibung

Humana, Inc. seeks a Risk Adjustment Representative 3 to conduct quality assurance audits of medical records and ICD-9/10 codes submitted to CMS and other government agencies. The role requires independent initiative, judgment, and intermediate mathematical skills.

The position is remote with standard 40-hour weeks and occasional travel to provider offices in California. Humana offers comprehensive benefits and opportunities to contribute to risk adjustment processes and process improvements.