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Coding Auditor - L1 Coding Monitoring

Created09/14/2021
Reference21012948
CategoryOperations
Job typeFull Time
CountryUnited States
Zip15689
SalaryCompetitive
Responsibilities:
  • 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.


Qualifications:
  • 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).


This position is not eligible to be performed in Colorado.

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.
Employer828 Newquest LLC