Workaholics4Hire.com

THIS POSITION HAS BEEN FILLED

Location: Work at Home, Vancouver, WA / Portland, OR

Job Description

[Company], headquartered in Louisville, Kentucky, is one of the nation’s largest publicly traded health benefits companies. [Company] offers a diversified portfolio of health insurance products and related services – through traditional and consumer-choice plans – to employer groups, government-sponsored plans, and individuals.

Today, [Company] is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.

Role: Certified Coder – Analyst, Medicare Risk Adjustment
Location: Work-at-home, Vancouver, WA / Portland, OR

Are you a fit?
Do you enjoy working with clinical data? Do you have a desire to be in a position where you can use your analysis to recommend support new strategies? If so then read on!

Assignment Capsule

The role of the Certified Coder – Analyst is to identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories.

* Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered.
* Review medical record information to identify all appropriate coding based on CMS HCC categories.
* Complete appropriate paperwork/documentation/system entry regarding claim/encounter information.
* Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information.
* Support and participate in process and quality improvement initiatives.

Key Competencies

* Builds Trust: You honor your word by doing what you say you are going to do.
* Drives for excellence: You are a continuous learner who encourages others to learn. By constantly upgrading your own work, you achieve results and outperform the competition.
* Implementation/Execution: You are good at organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools.
* Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.

Role Essentials

* Certified Medical Coder (CPC, CCS etc) with high degree of competence in this area
* Prior coding experience, preferably in a medical office environment
* Strong knowledge of Microsoft Office XP products (Word, Excel, Access)
* High school diploma or equivalent required
* Work at home position, must have reliable internet access
* Extensive local and overnight travel outside the home office is required. Will travel and cover geographic territory in both Oregon and Washington.
* Must have reliable transportation and valid driver’s license

Role Desirables

* Bachelor?s Degree
* Knowledge and experience in health care environment/managed care
* Professional demeanor and appearance, strong work ethic, reliable, resourceful, enthusiastic, team player with positive attitude
* Strong written and verbal communication skills; strong analytical, organizational and time management skills required

Reporting Relationships

* You will Work at Home and report to a Manager. This area is under the leadership of the SVP & Chief Operations Officer.

How To Apply For This Work At Home Job

THIS POSITION HAS BEEN FILLED