Coding Auditor - L1 Coding Monitoring Team (WFH, NC)

Coding Auditor - L1 Coding Monitoring Team (WFH, NC)

Coding Auditor - L1 Coding Monitoring Team (WFH, NC)

Job Overview

Location
Sunny Isles Beach, Florida
Job Type
Full Time Job
Job ID
50614
Date Posted
3 months ago
Recruiter
Julia Hart
Job Views
212

Job Description

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!

Our people make all the difference in our success.

What you will do:

  • Performs monitoring of Cigna Medicare coders & vendors in order to ensure quality metrics are achieved.

  • Researches coding audit disagreements with the purpose of providing substantive feedback.

  • Provides coaching/performance management to coders & vendors. 

  • Participates in auditor peer-to-peer process.

  • Meets fluctuating production demands in order to reach sampling targets.

  • Maintains a high level of quality, as set by internal standards, to ensure continued auditor accuracy. 

  • Stays up-to-date with current Cigna Medicare coding guidelines.

  • Maintains coding credentials & CEUs.

  • Proficiently functions in a virtual collaborative environment.

  • Participates in regular team and company meetings.

  • Other related duties as assigned.

This role is WFH/Flex, which allows most work to be performed at home. Employees must be fully vaccinated if they choose to come onsite.

Qualifications:

  • MUST BE A CURRENT CONTRACTOR WITH CIGNA, EXPRESS SCRIPTS OR EVERNORTH. Evernorth is a new business within the Cigna Corporation.

  • Must possess an active professional coding credential through AHIMA or AAPC (required).

  • Minimum 2 years of recent experience as a medical coder (required).

  • Experience with HCC coding (required).

  • Experience performing coder education, instructing, and/or auditing (strongly preferred).

  • Associate degree in a healthcare/health information related field (preferred).

  • Experience with clinical documentation improvement (preferred).

  • Extensive knowledge of CMS guidance of Risk Adjustment & ICD-10 CM diagnosis guidelines (required).

  • Extensive knowledge of medical terminology, anatomy and physiology (required).

  • Knowledge of pathophysiology and pharmacology (preferred).

  • Extensive knowledge of Medicare Advantage and HIPAA regulations and guidelines (required).

  • Excellent written and oral communication skills (required)

  • Basic proficiency in Excel (required).

  • Knowledge of Microsoft Word & Outlook (required).

  • Knowledge of Microsoft Word & Outlook (required).

For this position, we anticipate offering an hourly rate of $20 - $30, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

Helping our customers achieve healthier, more secure lives is at the heart of what we do. While you take care of our customers, we’ll take care of you through a comprehensive benefits program that helps you be at your best. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and best in class well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and dozens of corporate discounts on essentials you use every day. For more details on our employee benefits programs, please visit the “Life at Cigna” tab on our careersite: www.cigna.com/careers

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

Job ID: 50614

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