Manager Coding Analysis

Elevance Health • Durham, NC

20h • Hybrid

About The Position

Manager Coding Analysis CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through homecare and community-based services. The Manager Coding Analysis is responsible for managing a team that audits, reviews, and codes medical records for the purpose of reimbursement and compliance using ICD-9 and CPT codes.

Requirements

• Requires a H.S. diploma or equivalent and a minimum of 5 years experience; or any combination of education and experience which would provide an equivalent background.
• Knowledge of medical terminology and anatomy required.

Nice To Haves

• Certified Medical Coder (CPC , CCS-P) is a must for this position!
• Previous management/supervisory experience is strongly preferred.
• BA/BS in Health Care or Business preferred.
• Experience with the most current CMS Risk Adjustment Model strongly preferred
• AAPC Certified Risk Adjustment Coder (CRC) is preferred.

Responsibilities

• Develops, implements, and monitors policies, procedures, and systems for proper coding and quality assurance.
• Manages workloads, training, and problem resolution.
• Oversees all facets of the daily operations and ensures compliance.
• Develops and implements systems and processes to establish and maintain records for the operating unit.
• Manages projects designed to improve billing practices and increase revenues.
• Assists physicians and providers with questions and problems related to coding and billing.
• Plans, organizes, and conducts individual and group provider in-service programs.
• Conducts quality control studies and audits and implements solutions.
• Trains staff on coding, documentation and billing regulations.
• Participates in developing, implementing, and maintaining policies and objectives.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED