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Senior Coding Analyst
Elevance HealthCoding Analyst Sr. lifelong medical records for reimbursement and compliance at Elevance Health.
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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Medical CodingAuditing Medical RecordsCoding DocumentationClaim Payment GuidelinesMedical TerminologyAnatomy Knowledge
Soft Skills
TrainingEducationCommunication
Certifications
Certified Medical Coder (CPC or CCS-P)AAPC Certified Risk Adjustment Coder (CRC)