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Senior Coding Analyst
Elevance HealthCoding Analyst Sr. lifelong medical records for reimbursement and compliance at Elevance Health.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in reviewing, auditing, and coding medical records for reimbursement and compliance, with a strong focus on ICD-9 and CPT coding accuracy. Provides training and support to healthcare professionals on coding documentation and billing processes.
Highest-signal resume keywords
Certified Medical Coder (CPC or CCS-P)ICD-9 CodingCPT CodingCMS Risk Adjustment ModelAAPC Certified Risk Adjustment Coder (CRC)
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Medical CodingAuditing Medical RecordsCoding DocumentationClaim Payment GuidelinesMedical TerminologyAnatomy Knowledge
Soft Skills
TrainingEducationCommunication
Certifications & Qualifications
Certified Medical Coder (CPC or CCS-P)AAPC Certified Risk Adjustment Coder (CRC)
Industry Keywords
ICD-9CPTReimbursementComplianceRisk Adjustment
About the role
Key responsibilities & impact- responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education and compliance
- 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
What you’ll need- 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
Benefits
Comp & perks- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical
- dental
- vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources