Wiki How to prepare for Humana Risk Adjustment coder interview

[kgilstrap85@gmail.com]

I have a interview August 11 for a risk adjustment coder position at humana. Any tips on how to prepare. I have my cpc no a but have worked mainly in insurance verification and prior authorizations for a major hospital. Any tips or input would be so appreciated.

 

[Pam Warren]

Brush up on ICD-10-CM rules, including knowing the codes that are risk adjusted and what MEAT or TAMPER criteria will be used. If you have time, look up CRC certification (AAPC) and read about Medicare Advantage plans. You don't need to be an expert; just know how/why you'll be coding the way you will.

 

[kgilstrap85@gmail.com]

There is a risk adjustment coding and HCC guide that will go over the basics and is helpful, but it may be a benefit for you to grab the CRC study guide because the role with Humana may want you to obtain the certification if offered a position, but this may be a good introduction as well.

Where is the guide and ty

 

[kgilstrap85@gmail.com]

Brush up on ICD-10-CM rules, including knowing the codes that are risk adjusted and what MEAT or TAMPER criteria will be used. If you have time, look up CRC certification (AAPC) and read about Medicare Advantage plans. You don't need to be an expert; just know how/why you'll be coding the way you will.

Ty I will look those up i know alot about med supp plans now but couldn't hurt to brush up ty

 

[kgilstrap85@gmail.com]

Optum offers guide to purchase, the CRC study guide is on aapc. Take a look on Medicare site for Risk adjustment they do have presentations or sign up for a webinar on Risk adjustment.

Ty