CERTIFIED CODER at Molina Healthcare

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CERTIFIED CODER Molina Healthcare. . CERTIFIED CODER – REMOTE. . Molina Healthcare. . Job ID. 2024266. . JOB DESCRIPTION. . Job Summary. . Provides support to the business by making sure proper ICD-10 and CPT codes are reported accurately to maintain compliance and to minimize risk and denials.. . KNOWLEDGE/SKILLS/ABILITIES. . . Performs on-going chart reviews and abstracts diagnosis codes. . Develop an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are submitted accordingly. . Documents results/findings from chart reviews and provides feedback to management, providers, and office staff. . Provides training and education to network of providers on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment. . Builds positive relationships between providers and Molina by providing coding assistance when necessary. . Responsible for administrative duties such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education. . Assists in coordinating management activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors. . Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies. . Contributes to team effort by accomplishing related results as needed. . Other duties as assigned. .   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 Health Insurance Portability and Accountability Act (HIPAA). . Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers, and customers. . Maintain knowledge in the latest coding guidelines (official through CMS) as well as AHA Coding Clinic guidance. . . JOB QUALIFICATIONS. . Required Education. . Associates degree. or equivalent combination of education and experience. . Required License, Certification, Association. . . Certified  Professional Coder (CPC). . Certified Coding Specialist (CCS). . . Preferred Education. . Bachelor’s Degree in related field. . Preferred Experience. . . Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model. . Background in supporting risk adjustment management activities and clinical informatics. . Experience with Risk Adjustment Data Validation. . . Preferred License, Certification, Association. . . Certified Risk Adjustment Coder – (CRC). . Certified Professional Payer – Payer (CPC-P). . Certified Coding Specialist – Physician based (CCS-P). . . To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.. . Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.. . Pay Range: $17.85 – $38.69 / HOURLY. . *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.. . About Us. . Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.. . Job Type: . Full Time. .