Medical Record Training Consultant

Elevance Health

Medical Record Training Consultant overseeing compliance with healthcare documentation standards. Educating providers on Medicare risk adjustment coding and regulatory requirements.

Posted 6/19/2026full-timeSt Louis • Florida, Illinois, Kansas, Montana, Texas • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Provides oversight of medical record coding and documentation review activities to support compliance with federal requirements
Delivers audit findings and insights to healthcare providers and stakeholders
Supports provider education initiatives focused on Medicare risk adjustment coding accuracy, documentation quality, and regulatory compliance
Serves as final arbiter regarding the Risk & Recovery’s Retrospective Risk Adjustment (RA) Coding Team
Identifies training opportunities for internal and external stakeholders related to federal guidelines
Collects and analyzes data to formulate recommendations and solutions based on trends and results
Provides feedback to Risk & Recovery leadership on performance improvement opportunities
Acts as a subject matter expert to stakeholders in the area of federal requirements and best practices
Participates in and represents the department in business leadership groups
Assists the business with research and documentation of workflows and policies and procedures

Requirements

What you’ll need

Requires BA/BS in health sciences, health management, or nursing
minimum of 5 years of ICD-9 coding or medical record review experience in a consultative role
CPC from accredited source
CPMA (Medical Auditing Certification) from accredited source or equivalent certification required
Experience with Medicare Advantage and risk adjustment programs, including HCC coding
Experience auditing physician, outpatient, and/or hospital medical records
Experience interpreting and applying ICD-10-CM, CPT, HCPCS, and CMS guidelines
Experience developing and delivering provider or staff education
Strong knowledge of CMS regulations and Medicare risk adjustment methodologies
Ability to analyze audit findings, identify trends, and recommend corrective actions
Proficiency with Microsoft Office applications and reporting tools

Benefits

Comp & perks

merit increases
paid holidays
Paid Time Off
incentive bonus programs
medical benefits
dental benefits
vision benefits
short term disability benefits
long term disability benefits
401(k) + match
stock purchase plan
life insurance
wellness programs
financial education resources

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

ICD-9 codingICD-10-CMCPTHCPCSCMS guidelinesMedicare risk adjustmentHCC codingmedical record reviewdata analysisperformance improvement

Soft Skills

communicationleadershiptrainingeducationstakeholder engagementproblem-solvinganalytical thinkingcollaborationfeedback deliveryresearch

Certifications

CPCCPMA