Anthem, Inc Coding Auditor - Remote - PS15450 in Jefferson City, Missouri

Coding Auditor - Remote - PS15450

New

Location: United States

Field: Medical

Requisition #: PS15450

Post Date: 5 days ago

Your Talent. Our Vision. At Anthem, Inc. , it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

Coding Auditor

Responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD10 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.

  • Requires a high school diploma;

  • 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.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.