Certified Coding Specialist

4 weeks ago


Covington, United States Molina Healthcare Full time
Job Title: Certified Coder

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.



  • Covington, United States Molina Healthcare Full time

    Job SummaryMolina 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 across our organization.Key ResponsibilitiesPerform on-going chart reviews and abstract diagnosis codesDevelop an understanding of current billing practices in provider...


  • Covington, Louisiana, United States MedKoder Full time

    Job SummaryMedKoder is seeking a skilled Medical Coding Specialist to join our team. As a key member of our coding team, you will be responsible for reviewing and accurately coding professional services, including evaluation and management, diagnostics, and procedures, in compliance with applicable Medicare, Medicaid, and third-party payer guidelines.Key...


  • Covington, Louisiana, United States MedKoder Full time

    Job SummaryWe are seeking a highly skilled Physician Coder to join our team at MedKoder. As a key member of our coding team, you will be responsible for reviewing and accurately coding professional services, including evaluation and management, diagnostics, and procedures, in compliance with applicable Medicare, Medicaid, and third-party payer guidelines.Key...


  • Covington, United States GeorgiaGov Full time

    Job SummaryGeorgiaGov is seeking a Certified Peer Specialist to join our team. As a Peer Specialist, you will work with individuals to help them reach their goals and live healthy lives by supporting them in identifying their strengths and abilities.Key ResponsibilitiesProvide one-to-one and group sessions to support individuals in achieving their recovery...


  • Covington, United States Air Conditioning Specialist Full time

    Job SummaryWe are seeking a skilled HVAC Service Technician to join our team at Air Conditioning Specialist. As an HVAC Service Technician, you will be responsible for installing, maintaining, and repairing heating, cooling, and ventilation systems in residential, commercial, and industrial settings.Key Responsibilities:Installation: Install heating,...


  • Covington, United States GeorgiaGov Full time

    Job SummaryGeorgiaGov is seeking a highly motivated and compassionate Certified Peer Specialist to join our team. As a Peer Specialist, you will play a vital role in supporting individuals in achieving their recovery goals and living healthy lives.Key ResponsibilitiesProvide one-to-one and group sessions to help individuals identify strengths and abilities,...


  • Covington, United States Air Conditioning Specialist Full time

    Job DescriptionJob SummaryWe are seeking a skilled HVAC Service Technician to join our team. As an HVAC Service Technician, you will be responsible for installing, maintaining, and repairing heating, cooling, and ventilation systems in residential, commercial, and industrial settings.Key Responsibilities:Installation: Install heating, cooling, and...


  • Covington, United States St. Tammany Parish Hospital Full time

    At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system. We believe the pristine beauty of St. Tammany Parish adds to our attractive compensation package. The health system is nestled in the heart of...


  • Covington, Virginia, United States Alleghany Highlands Community Services Full time

    Job DescriptionAt Alleghany Highlands Community Services, we are seeking a dedicated and compassionate Peer Support Specialist to join our team. As a Peer Support Specialist, you will play a vital role in supporting individuals in achieving positive coping mechanisms for the stressors and barriers encountered during their path to wellness and recovery.Key...


  • Covington, Kentucky, United States CHNK Behavioral Health Full time

    Job SummaryCHNK Behavioral Health is seeking a highly skilled and compassionate Residential Treatment Specialist to join our team. As a Residential Treatment Specialist, you will play a vital role in providing direct care and supervision to children in residence who are suffering from childhood trauma and behavioral health issues.Key ResponsibilitiesProvide...


  • Covington, Louisiana, United States Essential Anesthesia Management Full time

    CRNA Job OpportunityEssential Anesthesia Management is seeking a highly skilled Certified Registered Nurse Anesthetist (CRNA) to join our team in Covington, Louisiana.Compensation: $/yearly - $232000/yearlyAbout the Role:Provide high-quality anesthesia care to patients in a variety of settings.Collaborate with healthcare professionals to ensure seamless...


  • Covington, United States Molina Healthcare Full time

    Job DescriptionJOB DESCRIPTIONJob SummaryUtilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding...


  • Covington, Louisiana, United States Essential Anesthesia Management Full time

    CRNA Opportunity at Avala Surgical HospitalWe are seeking a skilled and confident Certified Registered Nurse Anesthetist (CRNA) to join our team at Avala Surgical Hospital in Covington, LA. As a CRNA with Essential Anesthesia Management, you will have the opportunity to work in a fast-paced environment with a high level of autonomy in the preoperative,...


  • Covington, United States Essential Anesthesia Management Full time

    Essential Anesthesia Management is seeking a skilled Certified Registered Nurse Anesthetist to join our team in Covington, Louisiana. As a CRNA, you will have the opportunity to work with a premier physician and advanced practice job board, DocCafe, to advance your healthcare career. **Key Responsibilities:** * Provide anesthesia care to patients in a...


  • Covington, United States Ochsner Health - Covington Full time

    Seeking a Board Certified/Board Eligible NeurologistOchsner Health is a leading healthcare system in the Gulf South, seeking a talented Board Certified/Board Eligible Neurologist to join our team. As a specialist in Epilepsy, you will be part of a well-established practice with a growing tele-presence and active DBS and clinical research programs.Key...


  • Covington, United States Alleghany Highlands Community Services Board Full time

    ### Job Summary We are seeking a dedicated and compassionate Peer Support Specialist to join our team at Alleghany Highlands Community Services Board. As a Peer Support Specialist, you will play a vital role in supporting individuals within the Alleghany Regional Jail, providing a safe and non-judgmental space for them to share their experiences and...


  • Covington, Louisiana, United States St. Tammany Parish Hospital Full time

    Job SummaryWe are seeking a highly skilled Patient Access Specialist to join our team at St. Tammany Health System. As a Patient Access Specialist, you will be responsible for ensuring that patients receive efficient and organized care in the areas of registration, check-in/check-out, admission, insurance initiation and verification, and benefit research for...


  • Covington, Louisiana, United States LCMC Health Full time

    Your Role in Infection ControlAs a Central Sterilization Technician, you play a vital part in maintaining patient safety and surgical effectiveness. Your attention to detail and ability to work independently make you an asset to our healthcare team.Your ResponsibilitiesPrepare and sterilize medical instruments and equipment using appropriate...


  • Covington, United States LCMC Health Full time

    Job SummaryLCMC Health is seeking a highly skilled Central Sterilization Technician to join our team. As a Central Sterilization Technician, you will play a critical role in ensuring the highest level of patient safety and surgical effectiveness.Responsibilities:Prepare instrument trays and supplies for steam and sterilization using appropriate...


  • Covington, United States LCMC Health Full time

    Your job is more than a job.As a Central Sterilization Technician, you work behind-the-scenes, but you are a crucial part of our healthcare team. Reducing infections and supporting healthier outcomes for our patients is vital. You're organized, patient, cautious, meticulous with a critical eye and a strong stomach. Not everyone can do what you do the way...