Coding Analyst Sr.
Elevance Health•Durham, NC
•Remote
About The Position
The Coding Analyst Sr. is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education and compliance. This is a virtual eligible role, meaning associates can work virtually full-time with the exception of required in-person training sessions. Candidates must be within a reasonable proximity to one of the posted locations.
Requirements
- 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.
Nice To Haves
- 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.
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.
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
