Anthem, Inc. Coding Auditor in Apple Valley, California
SHIFT: Day Job
Your Talent. Our Vision. At CareMore, a proud member of the Anthem, Inc. family of companies, it’s a powerful combination. It’s 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.
CareMore is a proven care delivery model for the highest-risk. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. We build and lead integrated, multi-disciplinary clinical teams to care for the most complex patients. We strive for excellence and have achieved significant and measurable improvement in total cost of care, clinical outcomes, and experience. As an Anthem subsidiary, we benefit from the scale and resources one of America’s largest managed healthcare organizations.
Location: Work From Home Opportunity
Responsible for auditing data collected from physician and hospital medical records to ensure proper coding and compliance 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.
What We Offer 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.
Requires a high school diploma;
3 years 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 has been named a 2019 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.