Supervisor, Risk Adjustment

HumanPanorama

Base: $71,100 - $97,800 py; bonus/equity: eligible...
Hybrid
Medical records audits
Icd-10 diagnosis codes
Cms submissions
The Supervisor, Risk Adjustment 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

Job Summary

  • The Supervisor, Risk Adjustment 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.
  • You will ensure coding is accurate and properly supported by clinical documentation within the health record.
  • Humana offers a variety of benefits to promote the best health and well-being of our employees and their families.

Matching Summary

The Supervisor, Risk Adjustment 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.

Salary

Base: $71,100 - $97,800 per year; Bonus/Equity: eligible for a bonus incentive plan; Benefits: Health benefits effective day 1, Paid time off, holidays, volunteer time and jury duty pay, Recognition pay, 401(k) retirement savings plan with employer match, Tuition assistance, Scholarships for eligible dependents, Parental and caregiver leave, Employee charity matching program, Network Resource Groups (NRGs), Career development opportunities

Skills & Requirements

Must-have

  • medical records audits
  • ICD-10 diagnosis codes
  • CMS submissions
  • provider education programs
  • team oversight
  • policy enforcement

Nice-to-have

  • independent judgment
  • collaboration with management
  • consistency in execution

Key Requirements

  • 1+ years experience with training, mentoring, or coaching
  • Experience with medical records
  • Experience with EMR/EHR systems
  • Strong knowledge of ICD-10 coding
  • Proficiency in Microsoft Office Programs
  • 1+ years supervisory experience (preferred)
  • Bachelor's Degree (preferred)
  • CPC Certification (preferred)

Work Rights

Not specified

Tailored Resume

Cover Letter