SHIFT: Day Job
Your Talent. Our Vision. At CareMore, a proud member of the
Anthem, Inc. family of companies, it's a powerful combination. It's
the foundation upon which we're creating greater access to care for
our members, greater value for our customers and greater health for
our communities. Join us and together we will drive the future of
CareMore is a proven care delivery model for the highest-risk.
We are a team of committed clinicians and business leaders
passionate about transforming American healthcare delivery. We
build and lead integrated, multi-disciplinary clinical teams to
care for the most complex patients. We strive for excellence and
have achieved significant and measurable improvement in total cost
of care, clinical outcomes, and experience. As an Anthem
subsidiary, we benefit from the scale and resources one of
America's largest managed healthcare organizations.
Location: Work From Home Opportunity
+ Responsible for auditing data collected from physician and
hospital medical records to ensure proper coding and compliance
+ Primary duties may include, but are not limited to:
+ Collects and analyzes data to formulate recommendations and
solutions based on audit trends and results.
+ Provides regular feedback to Operations leadership on
performance improvement opportunities as a result of performance
+ Participates in and represents the department in business
+ Assesses and identifies training opportunities.
+ Assists the business with research and documentation of
workflows, policies and procedures and other materials.
+ Maintains current knowledge of requirements and guidance
required in the performance of audit duties.
+ Reviews medical records that have been reviewed and coded by
the coding vendor.
What We Offer We 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.
+ Requires a high school diploma;
+ 3 years of experience as a coder of medical records in a
physician office, hospital, or insurance/coding office setting;
+ any combination of education and experience, which would
provide an equivalent background.
+ BS in health sciences, health management or related field
+ Medical Coder certification from accredited source (e.g.
American Health Information Management Association, American
Academy of Professional Coders or Practice Management Institute)
+ CPMA preferred.
Anthem, Inc. is ranked as one of America's Most Admired
Companies among health insurers by Fortune magazine and has been
named a 2019 Best Employers for Diversity by Forbes. To learn more
about our company and apply, please visit us at
careers.antheminc.com. An Equal Opportunity
Employer/Disability/Veteran. Anthem promotes the delivery of
services in a culturally competent manner and considers cultural
competency when evaluating applicants for all Anthem positions.