Certified Coding Specialist
4 weeks ago
Job Summary:
Molina Healthcare is seeking a skilled Certified Coder to join our team. As a Certified Coder, you will play a critical role in ensuring accurate and compliant coding practices within our organization.
Key Responsibilities:
- Perform on-going chart reviews and abstract diagnosis codes
- Develop an understanding of current billing practices in provider offices to ensure accurate diagnosis and CPT codes
- Document results/findings from chart reviews and provide feedback to management, providers, and office staff
- Provide training and education to network of providers on risk adjustment knowledge and coding updates
- Build positive relationships between providers and Molina by providing coding assistance
- Assist in coordinating management activities with other departments, including Finance, Revenue analytics, Claims and Encounters, and Medical Directors
- Maintain professional and technical knowledge by attending educational workshops and reviewing professional publications
Requirements:
- 2 years previous coding experience
- Proficient in Microsoft Office Suite
- Ability to effectively interface with staff, clinicians, and management
- Excellent verbal and written communication skills
- Maintain confidentiality and comply with HIPAA
- Ability to establish and maintain positive and effective work relationships
Preferred Qualifications:
- Familiarity with HCC Risk Adjustment Model
- Background in supporting risk adjustment management activities and clinical informatics
- Experience with Risk Adjustment Data Validation
About Molina Healthcare:
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. We offer a competitive benefits and compensation package.
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