Lead Risk Adjustment & Coding- Clinical Documentation Improvement Specialist STRONGLY PREFERRED

Anthem Los Angeles, California
lead clinical documentation health medical education clinical documentation team operations healthcare lead identification assessment encounter
August 7, 2023
Los Angeles, California
*Lead Risk Adjustment & Coding- Clinical Documentation Improvement Specialist STRONGLY PREFERRED
Los Angeles, CA JobFamily:
Medical Req #:
PS68791 Date Posted:
Feb 25, 2022
Full-time Be part of an extraordinary team Responsible for leading a team of coders in the identification, collection and assessment of claim/encounter information as it pertains to CMS guidelines.
Primary duties may include but are not limited to:

Leads Risk Adjustment operations including provider education, data analysis, audits and overseeing record request process.
Oversees day to day operations.
Ensures compliance with mandated and corporate policies.
This position is a Monday-Friday Hybrid position.
Meaning the ideal candidate will report to different provider offices 3 days or less throughout the week, and the remaining 2 days will be remote.
Minimum Qualifications
Requires BA/BS in health care or business and minimum of 2 years experience in healthcare industry and expertise in Risk Adjustment; or any combination of education and experience, which would provide an equivalent background.
AAPC (American Academy of Professional Coders) or AHIMA (American Health Information Management Association) coding certification or equivalent certification required.
Preferred Qualifications
Clinical Documentation Improvement Specialist strongly preferred.
CDEO or CDIP certification strongly preferred.
Extensive experience in reisk adjustment and coding.
HEDIS experience strongly preferred.
Travel may be required.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Anthem, Inc.
has been named as a Fortune 100 Best Companies to Work For , is ranked as one of the 2020 World s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America s Best Employers for Diversity by Forbes.
To learn more about our company and apply, please visit us at careers.antheminc.com.
Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
Applicants who require accommodation to participate in the job application process may contact .
@icareerhelp.com for assistance.
The health of our associates and communities is a top priority for Anthem.
We require all new candidates to become vaccinated against COVID-19.
If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate.
Anthem will also follow all relevant federal, state and local laws.
Associated topics:
biomedical, clinical, cytometry, food, health, healthcare, immunoassay, microbiological, therapy, transfection

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