Hybrid Senior Coding Analyst

at Elevance Health

• Job title: Senior Coding Analyst
• Job type: Full Time
• Experience level: Senior
• Salary: Not specified
• Degree requirement: High School Diploma
• Location requirements: Hybrid, Durham, United States

About the role

• Coding Analyst Sr. responsible for auditing and coding medical records for Elevance Health. Training others on coding documentation and query physicians for unclear assignments.

Responsibilities

• Reviewing, auditing, and coding medical records for reimbursement
• Auditing and reviewing medical documentation for appropriate ICD-9 and CPT coding and documentation
• Querying physicians for unclear code assignments
• Training and educating others on coding documentation and payment guidelines
• Reviewing CPT and ICD-9 codes annually for accuracy and implementing changes
• Assisting physicians and providers with coding and billing questions

Requirements

• Requires a H.S. diploma or equivalent
• Minimum of 2 years of experience
• Certified Medical Code (CPC or CCS-P) required
• Experience with the most current CMS Risk Adjustment Model strongly preferred
• AAPC Certified Risk Adjustment Coder (CRC) is highly preferred
• Knowledge of medical terminology and anatomy strongly preferred

Benefits

• Health insurance
• 401(k) + match
• Paid Time Off
• Paid holidays
• Incentive bonus programs
• Short and long-term disability benefits
• Life insurance
• Wellness programs
• Financial education resources