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About the Role
The Coding Analyst Sr. is responsible for reviewing, auditing, and coding medical records for reimbursement, training, education, and compliance.
Responsibilities
- 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.
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/version is strongly preferred.
- AAPC Certified Risk Adjustment Coder (CRC) is highly preferred.
- Knowledge of medical terminology and anatomy strongly preferred.
Skills
- ICD-9 coding
- CPT coding
- Medical terminology
- Anatomy
Location
- Virtual
Work Type
- Virtual
- Full-time
Experience Level
- Minimum of 2 years of experience
Education Level
- H.S. diploma or equivalent
- Certified Medical Code (CPC or CCS-P)
- AAPC Certified Risk Adjustment Coder (CRC)
Benefits
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short and long term disability benefits
- 401(k) +match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
About the Company
- Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler.
- A Fortune 25 company with a longstanding history in the healthcare industry.
- Creating a culture designed to advance strategy and lead to personal and professional growth.
- Values and behaviors are the root of our culture.
- Operates in a Hybrid Workforce Strategy.
Equal Opportunity
- Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.
- Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
- Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.