Lead Medical Coding & Compliance Auditor

Elevance Health; United States; Hybrid; USD 31,000 - 64,000; Full time

Benefits offered by this job

Hybrid workforce model

Comprehensive benefits package

Job summary

Elevance Health is seeking a healthcare coding specialist to audit and review medical records for accurate ICD-9 and CPT coding, ensuring proper reimbursement and compliance. The role requires CPC or CCS-P certification and knowledge of medical terminology.

The position offers a hybrid work arrangement with potential for contract-to-hire. Candidates must have a HS diploma and at least two years of related experience, with flexibility in training completion and schedule.

Qualifications

• Requires a H.S. diploma or equivalent and minimum of 2 years of experience; or any combination of education and experience providing equivalent background.
• Certified Medical Code (CPC or CCS-P) required.
• Knowledge of medical terminology and anatomy strongly preferred.

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.

Skills

Medical coding

Medical terminology

Anatomy knowledge

Education

CPC or CCS-P certification

High School Diploma or equivalent

Job description

Elevance Health is seeking a healthcare coding specialist to audit and review medical records for accurate ICD-9 and CPT coding, ensuring proper reimbursement and compliance. The role requires CPC or CCS-P certification and knowledge of medical terminology.

The position offers a hybrid work arrangement with potential for contract-to-hire. Candidates must have a HS diploma and at least two years of related experience, with flexibility in training completion and schedule.