**JOB 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: $17.85 - $38.69 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.