Medical Coding Education Associate

Elevance Health•Norfolk, VA

2d•$55,100 - $100,050•Hybrid

About The Position

The Medial Coding Education Associate is responsible for comprehensive analysis of claims data to generate refined and industry-relevant concepts that govern the prosperity of the company across all business lines and client interactions. How you'll make a difference: Engages with providers and other internal external stakeholders to ensure proactive collaboration in reviewing coding and documentation guidelines. Examine medical records and various documentation to ensure the precision of code assignment. Researches, validates, and stays abreast of medical coding and billing issues, trends and changes in regulations and industry standards to recommend concepts. Conducts analyses of claims data to bolster the creation of educational concepts. Launch of education concepts. Provide providers with comprehensive feedback on current year coding guidelines and industry expertise, facilitated through phone and email correspondences to ensure that provider understands coding and documentation guidelines for the applicable concept(s). Executes a detailed review of medical records to confirm whether the documentation justifies the level of service provided. Completion of chart reviews and detailed education provided based on the records received.

Requirements

Requires an AA/AS degree and a minimum of 4 year of experience working with ICD-9/10CM, CPT, and HCPCS coding; or any combination of education and experience, which would provide an equivalent background.
Requires current, valid, active, and unrestrictive RHIA certification as a Registered Health Information Administrator and/or RHIT certification as a Registered Health Information Technician and/or CCS as a Cert Coding Specialist and/or CPC Cert Professional Coder.

Nice To Haves

Experience in health insurance reimbursement, medical billing, medical coding, auditing, or health data analytics preferred.
Strong oral and written communication skills, excellent analytical and problem solving skills, strong decision making skills, ability to manage multiple tasks in a demanding work environment, appreciation of cultural diversity and sensitivity towards target membership population, high energy level, self-motivating and able to handle several projects at a time.
Proficiency with MS Outlook, Word and Excel highly recommended.
Experience with MS Access preferred

Responsibilities

Engages with providers and other internal external stakeholders to ensure proactive collaboration in reviewing coding and documentation guidelines.
Examine medical records and various documentation to ensure the precision of code assignment.
Researches, validates, and stays abreast of medical coding and billing issues, trends and changes in regulations and industry standards to recommend concepts.
Conducts analyses of claims data to bolster the creation of educational concepts.
Launch of education concepts.
Provide providers with comprehensive feedback on current year coding guidelines and industry expertise, facilitated through phone and email correspondences to ensure that provider understands coding and documentation guidelines for the applicable concept(s).
Executes a detailed review of medical records to confirm whether the documentation justifies the level of service provided.
Completion of chart reviews and detailed education provided based on the records received.