[Hiring] Coding Analyst Sr. @Elevance Health

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

• 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

• Market-competitive total rewards that include merit increases, paid holidays, and 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 and financial education resources.