Job Details

Humana seeks a Risk Adjustment Representative 3 to conduct QA audits of medical records and ICD-9/10 codes submitted to CMS and other government agencies. The role requires independent judgment, supports administrative tasks, and may use intermediate mathematical skills. Travel up to 20% to CA provider offices is required.

Responsibilities include managing sites, tracking records, and collaborating with IPA/Medical Groups. This is a remote position with standard M-F hours and top-tier benefits.