Coding Auditor

Company: Anthem, Inc
Location: Charleston
Posted on: November 18, 2021

Job Description:

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