Analyze credentialing applications ensuring compliance with legal and regulatory requirements at LexisNexis Risk Solutions. Make informed decisions while communicating with applicants and internal stakeholders.
About the role
- Auditing and coding medical records for reimbursement at Elevance Health. Reviewing documentation and training others on coding practices, based in Puerto Rico.
Responsibilities
- 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
Requirements
- Requires a H.S. diploma or equivalent
- Minimum of 1 year of experience
- Certified Medical Code (CPC or CCS-P) required
- Knowledge of medical terminology and anatomy strongly preferred
- Bilingual (English/Spanish) is strongly preferred
Benefits
- Signing Bonus: $1,000.00
- Health insurance
- 401(k) +match
- Paid time off
- Paid holidays
- Short and long term disability benefits
- Stock purchase plan
- Wellness programs
- Financial education resources
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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