Coding Analyst

Elevance Health

77d

About The Position

A proud member of the Elevance Health family of companies, Carelon Global Solutions, formerly Legato Health Technologies is a managed service delivery organization, providing information technology and business operations services for health plans. This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. The Coding Analyst is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education and compliance.

Requirements

• Requires a H.S. diploma or equivalent and minimum of 1 year 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

• Knowledge of medical terminology and anatomy strongly preferred.
• Bilingual (English/Spanish) is 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.

Benefits

• Merit increases
• Paid holidays
• Paid Time Off
• Incentive bonus programs
• Medical, dental, vision benefits
• Short and long term disability benefits
• 401(k) + match
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees