Certified Coding Specialist

17 hours ago


Covington, United States Molina Healthcare Full time
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 across 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
  • Maintain knowledge in the latest coding guidelines and AHA Coding Clinic guidance
Preferred Qualifications
  • Familiar 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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