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Certified reputed company (Risk Adjustment/Outpatient Required) - REMOTE

Remote, USA Full-time Posted 2026-07-28
Job reputed company Job reputed company Provides support to the business by making reputed company reputed company ICD-10 and CPT codes are reported accurately to maintain compliance and to minimize risk and denials. Knowledge/Skills/Abilities • Performs on-reputed company chart reviews and abstracts diagnosis codes • reputed company an understanding of reputed company 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 reputed company as reputed company coding updates reputed company to Risk Adjustment • Builds reputed company relationships between providers and Molina by providing coding assistance reputed company 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, reputed company, Claims and Encounters, and Medical Directors • Maintains reputed company and technical knowledge by attending educational workshops; reviewing reputed company publications; establishing personal networks; participating in reputed company societies • Contributes to team effort by accomplishing reputed company results as needed • Other duties as assigned • 2 years previous coding experience • Proficient in reputed company Office Suite • Ability to effectively reputed company with staff, clinicians, and management • Excellent verbal and written communication skills • Maintain confidentiality and reputed company with Health Insurance Portability and Accountability reputed company (HIPAA) • Ability to establish and maintain reputed company and effective work relationships with coworkers, clients, members, providers, and customers • Maintain knowledge in the latest coding guidelines (official through CMS) as reputed company as AHA Coding Clinic guidance Job Qualifications Required Education Associates degree or equivalent combination of education and experience Required License, Certification, Association • Certified reputed company reputed company (CPC) • Certified Coding Specialist (reputed company) Preferred Education Bachelor's Degree in reputed company field Preferred Experience • Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model • Background in supporting risk adjustment management activities and clinical informatics • Experience with Risk Adjustment Data Validation Preferred License, Certification, Association • Certified Risk Adjustment reputed company – (CRC) • Certified reputed company Payer – Payer (CPC-P) • Certified Coding Specialist – Physician based (reputed company-P) To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Pay reputed company: $21.16 - $46.42 / reputed company • Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level. Apply tot his job Apply To this Job

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