Anthem

Anthem.

  • Atoka, TN


  • Long-term.

  • Full-time.

Description SHIFT: Day Task

SCHEDULE: Full-time

Description – External

Your Skill. Our Vision. At Anthem, Inc., it’s an effective mix, and the structure upon which we’re developing higher access to look after our members, higher worth for our clients, and higher health for our neighborhoods. Join us and together we will drive the future of healthcare.

This is a remarkable chance to do ingenious work that implies more to you and those we serve at one of America’s leading healthcare business and a Fortune Top 50 Business.

Area: This is a work from house chance. Prospects will be thought about from the following locations, and need to live within 50 miles of an Anthem center.

  • Indiana
  • Georgia
  • Virginia

The Service Provider( Coding) Repay Admin guarantees precise adjudication of claims, by equating medical policies, repayment policies, and scientific modifying policies into efficient and precise repayment requirements.

Main tasks might consist of, however are not restricted to:

  • Evaluations business particular, CMS particular, and rival particular medical policies, compensation policies, and modifying guidelines, along with carries out scientific research study, information analysis, and recognition of legal requireds to support draft advancement and/or modification of business repayment policy.
  • Equates medical policies into repayment guidelines. Carries out CPT/HCPCS code and cost schedule updates, examining each brand-new code for protection, policy, compensation advancement, and ramifications for system modifies.
  • Collaborates research study and reacts to system queries and appeals.
  • Performs research study of claims systems and system modifies to recognize adjudication concerns and to examine claims adjudication for precision.
  • Carries out pre-adjudication claims examines to guarantee correct coding was utilized.
  • Prepares correspondence to service providers relating to coding and charge schedule updates.
  • EM Leveling audit experience.
  • Experience operating in a production environment with brief timelines is highly chosen.

Credentials

Credentials – External

Requirements:

  • BA/BS degree; 2-3 years associated experience; or any mix of education and experience, which would supply a comparable background.
  • Time Management abilities is vital.
  • Medicaid Commercial organization items knowledge/experience a plus.
  • WGS and ASPECT experience chosen.
  • Needs a present American Academy of Expert Coders (AAPC) CPC or American Health Details Management Association (AHIMA): RHIA, RHIT, CCS, CCS-P coding accreditation.
  • Efficiency in Microsoft Word, Excel and SharePoint chosen.
  • Needs to have strong research study abilities and carry out well separately and in a group setting.

We provide a variety of market-competitive overall benefits that consist of benefit boosts, paid vacations, Paid Time Off, and reward programs (unless covered by a cumulative bargaining arrangement), medical, oral, vision, brief and long term impairment advantages, 401( k) match, stock purchase strategy, life insurance coverage, health cares and monetary education resources, among others.

Anthem, Inc. is ranked as one of America’s Many Appreciated Business amongst health insurance companies by Fortune publication and has actually been called a 2019 Finest Companies for Variety by Forbes. For more information about our business and use, please visit us at careers.antheminc.com. A Level Playing Field Employer/Disability/Veteran. Anthem promotes the shipment of services in a culturally proficient way and thinks about cultural proficiency when assessing candidates for all Anthem positions.

Please be recommended that Anthem just accepts resumes from firms that have actually a signed contract with Anthem. Appropriately, Anthem is not bound to pay recommendation costs to any company that is not a celebration to a contract with Anthem. Therefore, any unsolicited resumes, consisting of those sent to working with supervisors, are considered to be the home of Anthem.

Anthem.

  • Apply Now.