ATTENTION JOB SEEKERS AND MOLINA APPLICANTS: FRAUD ALERT
Be aware that third parties posing as Molina Healthcare may be soliciting money from job seekers and extending offers to candidates who have not interviewed. Molina does not engage in these type of practices. If you have received an offer and have not been engaging with Molina Healthcare in an interview process, reach out to erc@molinahealthcare.com to validate the legitimacy of your offer. Please note that Molina has reported this activity to the appropriate law enforcement agencies for further investigation. If you feel you’ve been victimized, please report it to local law enforcement.
Certified Coder - REMOTE
Molina Healthcare Augusta, Georgia; Bellevue, Nebraska; Owensboro, Kentucky; Des Moines, Iowa; Idaho; Nebraska; Grand Island, Nebraska; Louisville, Kentucky; Orlando, Florida; Michigan; Iowa; Wisconsin; Santa Fe, New Mexico; Lexington-Fayette, Kentucky; Omaha, Nebraska; Houston, Texas; Kearney, Nebraska; Boise, Idaho; West Valley City, Utah; Kenosha, Wisconsin; Fort Worth, Texas; Tucson, Arizona; Macon, Georgia; Georgia; New York; Cleveland, Ohio; Florida; Salt Lake City, Utah; Iowa City, Iowa; Dayton, Ohio; Akron, Ohio; Provo, Utah; Scottsdale, Arizona; Everett, Washington; Caldwell, Idaho; Warren, Michigan; Chandler, Arizona; Tampa, Florida; Mesa, Arizona; Rio Rancho, New Mexico; Roswell, New Mexico; Davenport, Iowa; Racine, Wisconsin; Jacksonville, Florida; Nampa, Idaho; Cincinnati, Ohio; Idaho Falls, Idaho; Ohio; New Mexico; Grand Rapids, Michigan; Buffalo, New York; Spokane, Washington; Sioux City, Iowa; Washington; Utah; Syracuse, New York; Dallas, Texas; Covington, Kentucky; Tacoma, Washington; Bowling Green, Kentucky; San Antonio, Texas; Milwaukee, Wisconsin; Cedar Rapids, Iowa; Rochester, New York; Albany, New York; Austin, Texas; Bellevue, Washington; Atlanta, Georgia; Miami, Florida; Detroit, Michigan; Yonkers, New York; Savannah, Georgia; Meridian, Idaho; Columbus, Georgia; Kentucky; Phoenix, Arizona; Orem, Utah; St. Petersburg, Florida; Ann Arbor, Michigan; Layton, Utah; Vancouver, Washington; Lincoln, Nebraska; Columbus, Ohio; Texas; Albuquerque, New Mexico; Madison, Wisconsin; Las Cruces, New Mexico; Sterling Heights, Michigan; Green Bay, Wisconsin Job ID 2032843JOB DESCRIPTION
Job Summary
Provides support to the business by making sure proper ICD-10 and CPT codes are reported accurately to maintain compliance and to minimize risk and denials.
KNOWLEDGE/SKILLS/ABILITIES
- Performs on-going chart reviews and abstracts diagnosis codes
- Develop an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are submitted accordingly
- Documents results/findings from chart reviews and provides feedback to management, providers, and office staff
- Provides training and education to network of providers on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment
- Builds positive relationships between providers and Molina by providing coding assistance when necessary
- Responsible for administrative duties such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education
- Assists in coordinating management activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors
- Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies
- Contributes to team effort by accomplishing related results as needed
- Other duties as assigned
- 2 years previous coding experience
- Proficient in Microsoft Office Suite
- Ability to effectively interface with staff, clinicians, and management
- Excellent verbal and written communication skills
- Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
- Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers, and customers
- Maintain knowledge in the latest coding guidelines (official through CMS) as well as AHA Coding Clinic guidance
JOB QUALIFICATIONS
Required Education
Associates degree or equivalent combination of education and experience
Required License, Certification, Association
- Certified Professional Coder (CPC)
- Certified Coding Specialist (CCS)
Preferred Education
Bachelor's Degree in related field
Preferred Experience
- Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model
- Background in supporting risk adjustment management activities and clinical informatics
- Experience with Risk Adjustment Data Validation
Preferred License, Certification, Association
- Certified Risk Adjustment Coder – (CRC)
- Certified Professional Payer – Payer (CPC-P)
- Certified Coding Specialist – Physician based (CCS-P)
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $46.42 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type Full Time Posting Date 07/29/2025Job Alerts
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