Coding Analyst

Elevance Health; San Juan (PR); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading health company is seeking a Coding Analyst to review and code medical records. This fully remote position requires a minimum of 1 year of experience in medical coding and a certified medical code qualification. Bilingual candidates are preferred, and the role offers a $1,000 signing bonus. Join this Fortune 25 company dedicated to improving lives and communities with competitive rewards and a flexible work environment.

Benefits

Signing Bonus of $1,000

Paid Time Off

Medical, dental, and vision benefits

401(k) plan with match

Qualifications

• Requires a H.S. diploma or equivalent and minimum of 1 year of experience.
• Certified Medical Code (CPC or CCS-P) required.

Responsibilities

• Review, audit, and code medical records for reimbursement.
• Audit medical documentation for appropriate ICD-9 and CPT coding.
• Train and educate others on coding and documentation.

Skills

Medical coding

Attention to detail

Bilingual (English/Spanish)

Education

High School diploma or equivalent

Certified Medical Code (CPC or CCS-P)

Job description

Overview

A proud member of the Elevance Health family of companies, Carelon Global Solutions, formerly Legato Health Technologies is a managed service delivery organization, providing information technology and business operations services for health plans.

Signing Bonus: $1,000.00

Coding Analyst

Location: Candidates are required to reside in Puerto Rico. 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.

Schedule: This position will work a first shift Monday through Friday but must be flexible to the US States time zones that the unit will be supporting.

The Coding Analyst is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education and compliance.

How you will make an impact

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.

Minimum Requirements:

• Requires a H.S. diploma or equivalent and minimum of 1 year of experience; or any combination of education and experience, which would provide an equivalent background.
• Certified Medical Code (CPC or CCS-P) required.

Preferred Skills, Capabilities, and Experiences:

• Knowledge of medical terminology and anatomy strongly preferred.
• Bilingual (English/Spanish) is strongly preferred.

Please 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 may contact elevancehealthjobssupport@e relevancehealth.com for assistance.

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.