DescriptionSHIFT: Day Job
Coding Auditor Sr- Remote
Locations: Kentucky, Tennessee, Texas, Oklahoma, Wisconsin, Missouri
The Coding Auditor Sr is responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD-9 coding and compliance with risk adjustment requirements.
Primary duties may include, but are not limited to:
• Audits diagnosis data retrieved from physician and hospital medical records and/or data extract files for both revenue project and RADV.
• Assists with National and Targeted Risk Adjustment Data Validation audits.
• Participates and represents the department in business leadership groups.
• Serves as a subject matter exert. Assesses and identifies training opportunities.
• Maintains current knowledge of requirements and guidance required in the performance of audit duties
Requires a H.S. diploma or equivalent and minimum of 3 years of experience as coder of medical records in physician office, hospital, or insurance/coding office setting; or any combination of education and experience, which would provide an equivalent background.
Medical Coder certification from accredited source (e.g., American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) required.
BS in health sciences, health management or related field preferred. Experience working with Medicare Advantage preferred. Experience with ICD-9 coding a plus. HCC coding preferred.
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.
If you’re a reserve or veteran member of the military, we foster a welcoming environment that’s dedicated to honoring your service and helping you achieve your career goals. Veterans of Anthem — one of our Business Resource Groups — partners with our Talent Acquisition teams to maximize career offerings for you and your family members, striving to help you transition to civilian service and grow your career at the same time.
Join Anthem's Military and Veteran Talent Network: https://anthemcareers.ttcportals.com/pages/military
WE ARE HIRING
Anthem, Inc. is currently seeking military veterans and military spouses with operations experience. Whether your experience is hands-on as an operational specialist or in operational leadership, Anthem wants to have an impact on your career and professional growth by speaking with you about their career opportunities.
If you are interested in learning more, check out Anthem's current open positions to the right for more information and to apply today!
Not sure where to start? Send RecruitMilitary Success Manager, Taylor Groves, your questions at firstname.lastname@example.org
Anthem, Inc. | , Kentucky
Anthem, Inc. | , Wisconsin
Anthem, Inc. | , Texas
Anthem, Inc. | , Tennessee
Anthem, Inc. | , Missouri
Anthem, Inc. | Houston, Texas
Anthem, Inc. | Miami, Florida
Anthem, Inc. | , Washington
Anthem, Inc. | , Michigan
Anthem, Inc. | , Idaho