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Coding Auditor - Remote - PS15450

PS15450 Requisition #
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Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and 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 health care. 

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

Coding Auditor

Responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD10 coding and compliance with risk adjustment requirements. 
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 gaps. 
  • Participates in and represents the department in business leadership groups. 
  • 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. 
  • Requires a high school diploma; 
  • 1 year of experience as a coder of medical records in a physician office, hospital, or insurance/coding office setting; 
  • Or any combination of education and experience, which would provide an equivalent background. 
  • BS in health sciences, health management or related field preferred. 
  • Medical Coder certification from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) required.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

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Frequently Asked Questions

We accept online applications via our "Apply" link at the bottom of specific position. Our online application may vary in type of questions depending on the role. Once this is completed, you will receive an email confirmation regarding your application.

After you apply online, you will receive an email confirmation regarding your application. Our recruiters update the status of your application as soon as information is available. You can check the status of your application by logging back into the system.

We have multiple opportunities that can be work-at-home; to find these positions search "remote" on the main page.

If you have any questions regarding your application status, you can always check the status of your application by logging into the system. Feel free to follow us on our social media channels, as well.

For more information regarding our temporary or contract opportunities at Anthem visit here.

Help individuals with disabilities participate in the workforce and ensuring equal opportunity to apply and compete for jobs. If you are an individual with a disability and require a reasonable accommodation to complete the application process, please email Human Resources at ability@icareerhelp.com for further assistance.