Coding Analyst Sr.
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Coding Analyst Sr.Job Description:
Coding Analyst Sr.
LOCATION: This is a virtual eligible role. You should be within a reasonable proximity to one of our offices.
HOURS: 8:00a - 5:00p Monday through Friday (Eastern or Central time)
Virtual: 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.
Please note that per our policy on hybrid/virtual work candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment unless an accommodation is granted as required by law. Alternate locations may be considered if candidatesresidewithin a commuting distance from an office.
The Coding Analyst Sr. is responsible for reviewing auditing and coding medical records for the purpose of reimbursement training education and compliance.
Primary duties may include but are not limited to:
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.
Serves as a resource to Coding Analysts.
Required Qualifications
Requires a H.S. diploma or equivalent and minimum of 2 years of experience; or any combination of education and experience which would provide an equivalent background.
Certified Medical Code (CPC or CCS-P) required.
Preferred Qualifications
Experience with the most current CMS Risk Adjustment Model/version is strongly preferred.
AAPC Certified Risk Adjustment Coder (CRC) is highly preferred.
Knowledge of medical terminology and anatomy strongly preferred.
Job Level:
Non-Management Non-ExemptWorkshift:
1st Shift (United States of America)Job Family:
MED > Licensed/Certified - OtherPlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes including those submitted to hiring managers are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy power our business outcomes and drive our shared success - for our consumers our associates our communities and our business.
We offer a range of market-competitive total rewards that include merit increases paid holidays Paid Time Off and 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 to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager associates are required to work at an Elevance Health location at least once per week and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age citizenship status color creed disability ethnicity genetic information gender (including gender identity and gender expression) marital status national origin race religion sex sexual orientation veteran status or any other status or condition protected by applicable federal state or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws including but not limited to the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 Florida Agency for Health Care Administration.
NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13 the posting will automatically come down on 3/12 at 11:59:59 other words the job is posted until 3/13 not through 3/13.
Required Experience:
Senior IC
About Company
Elevance Health, formerly Anthem, Inc., serves people across their entire health journey taking an integrated whole-health approach.
