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Molina HealthcareMH

Certified Coder - REMOTE

Molina Healthcare is a FORTUNE 500 company focused on providing government-sponsored healthcare services, including Medicaid and Medicare, across the United States.

Molina Healthcare

Employee count: 1001-5000

United States only

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.

Requirements

  • 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

Benefits

  • Competitive benefits and compensation package

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Entry-level

Location requirements

Hiring timezones

United States +/- 0 hours

About Molina Healthcare

Learn more about Molina Healthcare and their company culture.

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Molina Healthcare is a FORTUNE 500, multi-state health care organization dedicated to providing quality health care services under Medicaid and Medicare programs. With a commitment to ensuring that every person and family has access to quality health care, Molina operates in numerous states across the United States. The organization serves over 5 million members through locally operated health plans and strives to address health disparities with innovative solutions.

With a foundation built in 1980 by Dr. C. David Molina, the organization has grown from one clinic in Long Beach, California, to become a leader in government-sponsored health care services. Molina Healthcare specializes in managed care, providing a comprehensive range of health services from preventive care to specialized treatment plans. One of Molina's most significant achievements includes integrating care for those eligible for both Medicaid and Medicare, showing a commitment to delivering high-quality, coordinated health care across diverse populations. Their focus on community engagement ensures that members are empowered to manage their health effectively.

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Molina Healthcare

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Molina Healthcare hiring Certified Coder - REMOTE • Remote (Work from Home) | Himalayas