Medical Coding Education Associate
About The Position
Carelon, a proud member of the Elevance Health family of companies, is a healthcare services organization that takes a whole-health approach to making care more integrated, personalized, and affordable. We put people at the center—connecting physical, behavioral, social, and pharmacy services, along with clinical expertise, research, operations, and advanced technology to help care work better, together. The Medical 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.
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
- Previous experience in healthcare industry is strongly 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.
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
- medical
- dental
- vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
