Jobs · Business Development · North Carolina

Coding Analyst Sr.

Elevance Health · Durham, NC · 3 wk ago
Business DevelopmentFull-time

About the role

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.

Qualifications

Required: H.S. diploma or equivalent and minimum of 2 years of experience; or any combination of education and experience providing an equivalent background. Certified Medical Coder (CPC or CCS-P) required.

Preferred: Experience with the most current CMS Risk Adjustment Model/version; AAPC Certified Risk Adjustment Coder (CRC); Knowledge of medical terminology and anatomy.

Benefits

We offer 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.

Schedule

Hours: 8:00 a.m. – 5:00 p.m., Monday through Friday (Eastern or Central time). Virtual full‑time role with occasional required in‑person training sessions.

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