Medical Coding Education Associate (Certified)

Elevance Health • Norfolk, VA

3d • Hybrid

About The Position

Medical Coding Education Associate (JR176657) Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting locations will not be considered for employment, unless an accommodation is granted as required by law. 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. 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. 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. 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.

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

• Professional Coding experience within managed care or provider practices strongly preferred
• Experience auditing professional medical records strongly preferred
• Experience educating and communicating with Physicians and non-Physician Practitioners

Responsibilities

• comprehensive analysis of claims data to generate refined and industry-relevant concepts
• 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
• 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
• 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

Benefits

• Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)
• merit increases
• paid holidays
• Paid Time Off
• incentive bonus programs (unless covered by a collective bargaining agreement)
• medical, dental, vision, short and long term disability benefits
• 401(k) +match
• stock purchase plan
• life insurance
• wellness programs and financial education resources

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees