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Humana Risk Adjustment Coding Jobs (NOW HIRING)

Oscar Health

Auditor, Risk Adjustment

Tempe, AZ · Remote

$82K - $108K/yr

Hi, we're Oscar. We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment team. Oscar is the first health insurance company built around a full stack technology platform and a

Oscar Health

Auditor, Risk Adjustment

Miami, FL · Remote

$82K - $108K/yr

Hi, we're Oscar. We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment team. Oscar is the first health insurance company built around a full stack technology platform and a

Oscar Health

Auditor, Risk Adjustment

Dallas, TX · Remote

$82K - $108K/yr

Hi, we're Oscar. We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment team. Oscar is the first health insurance company built around a full stack technology platform and a

Oscar Health

Auditor, Risk Adjustment

Atlanta, GA · Remote

$82K - $108K/yr

Hi, we're Oscar. We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment team. Oscar is the first health insurance company built around a full stack technology platform and a

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How much do humana risk adjustment coding jobs pay per hour?

As of Jun 4, 2026, the average hourly pay for humana risk adjustment coding in the United States is $18.30, according to ZipRecruiter salary data. Most workers in this role earn between $15.62 and $18.27 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Humana Risk Adjustment Coder, and why are they important?

To excel as a Humana Risk Adjustment Coder, you need a thorough understanding of medical coding guidelines (ICD-10-CM), risk adjustment models, and a relevant certification such as CPC, CRC, or CCS. Familiarity with electronic health record (EHR) systems, coding software, and Humana-specific risk adjustment tools is typically required. Attention to detail, analytical thinking, and effective communication are critical soft skills for accurately interpreting medical documentation and collaborating with healthcare providers. These skills ensure accurate coding, compliance, and optimal reimbursement, directly impacting organizational performance and patient outcomes.

What are some common challenges faced by professionals in Humana Risk Adjustment Coding, and how can they be addressed?

Professionals in Humana Risk Adjustment Coding often encounter challenges such as staying updated with frequent changes in coding guidelines, managing large volumes of complex patient data, and ensuring accuracy to maximize appropriate reimbursements. These challenges can be addressed by regularly participating in training sessions, utilizing coding tools and resources, and collaborating closely with clinical teams to clarify documentation. Effective time management and attention to detail are also key to handling these responsibilities successfully in a fast-paced environment.

What is Humana Risk Adjustment Coding?

Humana Risk Adjustment Coding refers to the process of reviewing and assigning medical codes to patient diagnoses and procedures for members insured by Humana. This coding helps accurately reflect the health status of patients and ensures appropriate risk adjustment for insurance reimbursement. By capturing all relevant diagnoses, risk adjustment coding helps Humana predict healthcare costs and allocate resources more effectively. Accurate coding also ensures compliance with government regulations and supports quality patient care.

What is the difference between Humana Risk Adjustment Coding vs Medical Coding Specialist?

AspectHumana Risk Adjustment CodingMedical Coding Specialist
CredentialsCPH, CPC, or CCS certifications often preferredCPC, CCS, or equivalent certifications
Work EnvironmentHealthcare insurance companies, provider offices, or remoteHospitals, clinics, or physician offices
Industry UsagePrimarily in health insurance and risk adjustment programsBroadly in healthcare settings for billing and documentation

Humana Risk Adjustment Coding focuses on accurately coding patient data for risk adjustment in insurance plans, ensuring proper reimbursement and compliance. Medical Coding Specialists handle a wider range of medical procedures and diagnoses for billing purposes across various healthcare settings. While both roles require coding certifications, Humana Risk Adjustment Coders specialize in insurance-related coding, whereas Medical Coding Specialists work across diverse medical environments.

Infographic showing various Humana Risk Adjustment Coding job openings in the United States as of May 2026, with employment types broken down into 92% Full Time, and 8% Contract. Highlights an 54% In-person, and 46% Remote job distribution, with an average salary of $38,059 per year, or $18.3 per hour.
Remote Risk Adjustment Coder Coding Associate

Remote Risk Adjustment Coder Coding Associate

Intus Care

Manhattan, NY • Remote

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

A healthcare technology company is seeking a Coding Associate responsible for delivering high-quality risk adjustment coding services for clients. This role requires reviewing medical records, assigning diagnosis codes, and ensuring compliance with CMS standards. Required qualifications include relevant certifications and 1-2 years of medical coding experience.

The position offers a competitive salary package, comprehensive benefits, and opportunities for professional growth. This is a fully remote role based in the United States. #J-18808-Ljbffr

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