Medical Records Audit CPC amp Training Consultant - Military Veterans

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Description SHIFT: Day JobSCHEDULE: Full-timeMedical Records Audit & Training Consultant (PS68715)nu00a0nBe part of an extraordinary team!nu00a0nWe are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?nu00a0nLocation: Currently requires PCP visits 35 u2013 50% of the time. Currently work from home but in the future, this position will be based in our Miami officeu00a0when not in the field visiting PCPu2019s.nu00a0nNOTE: Mileage will beu00a0reimbursed.nu00a0nHow you will make an impact:nu00a0nThe Medical Records Audit & Training Consultant is responsible for evaluating and auditing PCP diagnosis codes and medical assessment forms to ensure compliance with federal Medicare guidelines and medical documentation requirements. Primary duties may include, but are not limited to: nntntServes as final auditing arbiter regarding the Risk & Recoveryu2019s Retrospective Risk Adjustment (RA) Coding Team. ntntntIdentifies training opportunities for internal and external stakeholders related to federal guidelines, best practices, and medical record documentation requirements. ntntntCollects and analyzes data to formulate recommendations and solutions based on audit trends and results. ntntntActs as a subject matter expert to internal and external stakeholders in the area of federal requirements and best practices. ntntntParticipates in and represents the department in business leadership groups, including external professional groups specializing in coding and provider education. ntntntAssists the business with research and documentation of workflows and policies and procedures. ntnnu00a0nQualifications Minimum Requirements:nu00a0nntntBA/BS in health sciences, health management, or nursing and minimum of 5 years of ICD-9 coding or medical record audit experience in a consultative role; or any combination of education and experience, which would provide an equivalent background. ntntntCertified Professional Coder (CPC) from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) and CPMA (Medical Auditing Certification) from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) or equivalent certification required.ntntnt1 u2013 2 years coding experience. ntntntMust be willing to travel up to 50% of the time to visit PCPu2019s.ntnnu00a0nPreferred Qualifications:nu00a0nntntExperience with Medicare Advantage diagnosis coding strongly preferred.ntnnu00a0nWe 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.nnThe health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide u2013 and Anthem approves u2013 a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.nn**MEMBERS ONLY**SIGN UP NOW***. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 Worldu2019s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact **** for assistance.

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