Anthem, Inc. Coding Auditor Sr -Remote in Memphis, Tennessee
SHIFT: 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.
Preferred Qualifications: 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.