Your Talent. Our Vision. At CareMore, a proud member of the Anthem, Inc. family of companies specializing in providing senior Americans a complete and pro-active health care experience, 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 health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve.
Responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education and compliance. Primary duties may include, but are not limited to:
Audits and reviews medical documentation for appropriate ICD-9 and CPT coding and documentation.
Queries physicians when code assignments are not straightforward or documentation is unclear.
Trains and educates others on coding, documentation, claim payment guidelines, and related issues.
Reviews CPT and ICD-9 codes annually for accuracy and implements changes.
Assists physicians and providers with questions and problems related to coding, documentation and billing.
Requires a high school diploma
1 year of experience; or any combination of education and experience, which would provide an equivalent background.
Certified Medical Code (CPC or CCS-P) required.
Knowledge of medical terminology and anatomy required.