[Hiring] Senior Coding Analyst @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 that would provide an equivalent background.
• Certified Medical Code (CPC or CCS-P) required.

Requirements

• Experience with the most current CMS Risk Adjustment Model/version is strongly preferred.
• AAPC Certified Risk Adjustment Coder (CRC) is highly preferred.
• Knowledge of medical terminology and anatomy strongly preferred.

Benefits

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