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HCC Coding Trainer, San Jose #135236 in San Jose, CA at Anthem, Inc.

Date Posted: 2/9/2018

Job Snapshot

  • Employee Type:
  • Location:
    San Jose, CA
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:

Job Description

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 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 training providers to complete health risk assessments for our members.  Health risk assessments can improve medical record documentation for targeted members.  Educating, training, and incentivizing physician offices on the proper diagnosis code documentation practices is key.
Primary duties may include, but are not limited to:
  • Explain to the targeted providers the need for the requested health risk assessments
  • Develop training programs and tools.
  • Identifies opportunities to improve accuracy and completeness for revenue impact.
  • Translates data to provide answers for provider consultations in order to improve medical record documentation and risk scores.
  • Provides feedback to providers on performance improvement opportunities; tracks and prioritizes projects to improve coding and documentation outcomes.
  • Develops and implements action plans to address issues identified through data analysis.
  • Provides oversight, guidance, and training to partner providers and clinicians related to CMS guidelines and HCC best practices.

Job Requirements

BA/BS preferred, 6 years of experience in healthcare including provider relationship management, ICD-10 coding, and experience in a consultative role, including 3 years of CMS Risk Adjustment experience; or any combination of education and experience, which would provide an equivalent background.
CPC or CCS from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) or equivalent certification required.
Experience developing training programs and provider tools preferred.
Experience developing training programs for medical providers preferred.
Excellent organizational skills required.
Previous experience educating providers with outstanding results preferred.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2016 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at EOE. M/F/Disability/Veteran.


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