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Elevance Health

Elevance Health is fueled by a purpose to strengthen the health of humanity by redefining health, reimagining the health system, and improving communities. Reco

Senior Coding Analyst

Location

United States

Posted

2 days ago

Salary

Not specified

Seniority

Senior

Job Description

Role Description

The Coding Analyst Sr. is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education, and compliance.

  • Audits and reviews medical documentation for appropriate ICD-9 and CPT coding and documentation.
  • Queries physicians when code assignments are not straightforward or documentation is unclear.
  • Trains and educates others on coding documentation, claim payment guidelines, and related issues.
  • Reviews CPT and ICD-9 codes annually for accuracy and implements changes.
  • Assists physicians and providers with questions and problems related to coding, documentation, and billing.
  • Serves as a resource to Coding Analysts.

Qualifications

  • Requires a H.S. diploma or equivalent and minimum of 2 years of experience; or any combination of education and experience, which would provide an equivalent background.
  • Certified Medical Code (CPC or CCS-P) required.
  • Experience with the most current CMS Risk Adjustment Model strongly preferred.
  • AAPC Certified Risk Adjustment Coder (CRC) is highly preferred.
  • Knowledge of medical terminology and anatomy strongly preferred.

Requirements

  • Location: This is a virtual eligible role. You should be within a reasonable proximity to one of our offices.
  • Hours: 8:00a - 5:00p, Monday through Friday (Eastern or Central time).
  • Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions.
  • Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment unless an accommodation is granted as required by law.

Benefits

  • Merit increases.
  • Paid holidays.
  • Paid Time Off.
  • Incentive bonus programs (unless covered by a collective bargaining agreement).
  • Medical, dental, and vision benefits.
  • Short and long-term disability benefits.
  • 401(k) + match.
  • Stock purchase plan.
  • Life insurance.
  • Wellness programs.
  • Financial education resources.

Job Requirements

  • Requires a H.S. diploma or equivalent and minimum of 2 years of experience; or any combination of education and experience, which would provide an equivalent background.
  • Certified Medical Code (CPC or CCS-P) required.
  • Experience with the most current CMS Risk Adjustment Model strongly preferred.
  • AAPC Certified Risk Adjustment Coder (CRC) is highly preferred.
  • Knowledge of medical terminology and anatomy strongly preferred.
  • Location: This is a virtual eligible role. You should be within a reasonable proximity to one of our offices.
  • Hours: 8:00a - 5:00p, Monday through Friday (Eastern or Central time).
  • Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions.
  • Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment unless an accommodation is granted as required by law.

Benefits

  • Merit increases.
  • Paid holidays.
  • Paid Time Off.
  • Incentive bonus programs (unless covered by a collective bargaining agreement).
  • Medical, dental, and vision benefits.
  • Short and long-term disability benefits.
  • 401(k) + match.
  • Stock purchase plan.
  • Life insurance.
  • Wellness programs.
  • Financial education resources.

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