(Remote Work) Certified Coder – Molina Healthcare

Job Expired

Job Overview

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.

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 Responsibilities

  • 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 Requirements

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)

Employee Benefits

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $41,264 – $80,465 a year*
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

How To Apply

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More Information

  • This job has expired!