Company: Anthem, Inc
Posted on: November 18, 2021
Description SHIFT: Day JobSCHEDULE: Full-timeResponsible for
auditing diagnosis data collected from physician and hospital
medical records to ensure proper ICD9 coding and compliance with
risk adjustment requirements. Primary duties may include, but are
not limited to: Collects and analyzes data to formulate
recommendations and solutions based on audit trends and results.
Provides regular feedback to Operations leadership on performance
improvement opportunities as a result of performance gaps.
Participates in and represents the department in business
leadership groups. Assesses and identifies training opportunities.
Assists the business with research and documentation of workflows,
policies and procedures and other materials. Maintains current
knowledge of requirements and guidance required in the performance
of audit duties. Reviews medical records that have been reviewed
and coded by the coding vendor. Qualifications Requires a H.S.
diploma or equivalent and minimum of 1 year of experience as a
coder of medical records in a physician office, hospital, or
insurance/coding office setting; or any combination of education
and experience, which would provide an equivalent background. BS in
health sciences, health management or related field preferred.
Medical Coder certification from accredited source (e.g. American
Health Information Management Association, American Academy of
Professional Coders or Practice Management Institute) required. We
offer a range of market-competitive total rewards that include
merit increases, paid holidays, Paid Time Off, and incentive bonus
programs (unless covered by a collective bargaining agreement),
medical, dental, vision, short and long term disability benefits,
401(k) +match, stock purchase plan, life insurance, wellness
programs and financial education resources, to name a few. Anthem,
Inc. has been named as a Fortune 100 Best Companies to Work For--,
is ranked as one of the 2020 World's Most Admired Companies among
health insurers by Fortune magazine, and a 2020 America's Best
Employers for Diversity by Forbes. To learn more about our company
and apply, please visit us at careers.antheminc.com. An Equal
Opportunity Employer/Disability/Veteran. Anthem promotes the
delivery of services in a culturally competent manner and considers
cultural competency when evaluating applicants for all Anthem
positions. REQNUMBER: PS58187-US
Keywords: Anthem, Inc, Charleston , Coding Auditor, Accounting, Auditing , Charleston, West Virginia
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