Coding Analyst Sr.

About the role

This is a virtual eligible role. You should be within a reasonable proximity to one of our offices. The Coding Analyst Sr. is responsible for reviewing, auditing, and coding medical records for the purpose of 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.

Preferred Qualifications

- 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

Elevance Health offers a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Pay

Market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement).

Schedule

8:00a - 5:00p, Monday through Friday (Eastern or Central time).