Anthem Inc. Health Insurance Jobs

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Anthem, Inc. Manager Coding Analysis in Woodland Hills, California

Description

SHIFT: Day Job

SCHEDULE: Full-time

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.

Responsible for managing a team that audits, reviews, and codes medical records for the purpose of reimbursement and compliance using ICD-10 and CPT codes. Primary duties may include, but are not limited to:

  • Develops, implements, and monitors policies, procedures, and systems for proper coding and quality assurance.

  • Manages workloads, training, and problem resolution.

  • Oversees all facets of the daily operations and ensures compliance.

  • Develops and implements systems and processes to establish and maintain records for the operating unit.

  • Manages projects designed to improve billing practices and increase revenues.

  • Assists physicians and providers with questions and problems related to coding and billing.

  • Plans, organizes, and conducts individual and group provider in-service programs.

  • Conducts quality control studies and audits and implements solutions.

  • Trains staff on coding, documentation and billing regulations.

  • Participates in developing, implementing, and maintaining policies and objectives.

  • Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Qualifications

  • Requires a high school diploma;

  • Must have a valid coding certification (CPC, CRC, or RHIT preferred)

  • Recent experience and knowledge in Medicare risk adjustment

  • Minimum of 5 years of experience; or any combination of education and experience, which would provide an equivalent background. Knowledge of medical terminology and anatomy required.

Benefits

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.

An Equal Opportunity Employer/Disability/Veteran

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.

REQNUMBER: PS44359

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