Medical Coding Appeals Analyst

Elevance Health

Med Coding Appeals Analyst ensuring accurate claims adjudication through policy translation. Work with health information and reimbursement rules across the United States in a hybrid work environment.

Posted 4/29/2026full-timeIndianapolis • Florida, Ohio, Virginia • 🇺🇸 United StatesJuniorMid-LevelWebsite

About the role

Key responsibilities & impact

Ensures accurate adjudication of claims
Translating medical policies into reimbursement rules
Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code
Conduct clinical research, data analysis, and identification of legislative mandates
Perform pre-adjudication claims reviews
Prepares correspondence to providers regarding coding and fee schedule updates
Trains customer service staff on system issues

Requirements

What you’ll need

Requires a BA/BS degree
Minimum of 2 years related experience
Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required
CEMC, RHIT, CCS, CCS-P certifications preferred

Benefits

Comp & perks

Sign On Bonus: $1,000
health insurance
retirement plans
paid time off
flexible work arrangements
professional development
bonuses
stock options
wellness programs
financial education resources

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical codingdata analysisclaims adjudicationCPT codingHCPCS codingICD-10 codingclinical researchpre-adjudication reviewsreimbursement rulesmedical record documentation

Soft Skills

trainingcommunicationcustomer service

Certifications

Certified Professional Coder (CPC)Registered Health Information Administrator (RHIA)CEMCRHITCCSCCS-P