Remote Risk Adjustment Specialist III

Humana

Humana is seeking a Risk Adjustment Representative 3 to perform QA audits of medical records and ICD-9/10 codes for CMS and other government programs. The role requires independent initiative and strong administrative judgment across complex processes.

You will contact sites with open records requests, prioritize tasks, and collaborate with IPA and Medical Groups. Remote work is possible with occasional travel to CA; must be proficient in MS Office and able to support HIPAA information

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Vacancy posted 2 days ago

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