Remote Senior Medical Coding Auditor

Elevance Health, Inc.; United States; Remote; USD 70,000 - 110,000; Full time

Job summary

Elevance Health, Inc. is seeking a Coding Auditor Senior to audit diagnosis data from physician and hospital records to ensure ICD-9/ICD-10 coding accuracy and risk adjustment compliance. The role supports revenue projects and RADV audits with possible national scope.

The position offers virtual, full-time work with occasional in-person training and potential alternate locations within commuting distance. Strong attention to detail and healthcare coding expertise are essential.

Qualifications

• Requires HS diploma or equivalent and at least 3 years of medical records coder experience.
• Medical Coder certification from AHIMA/AAPC or PMI is required.
• BS in health sciences or related field preferred.
• Experience with Medicare Advantage preferred.
• ICD-9 coding experience a plus; HCC coding preferred.
• Strong communication skills preferred.

Responsibilities

• Audits diagnosis data retrieved from physician and hospital medical records and data extract files for revenue projects and RADV.
• Assists with National and Targeted Risk Adjustment Data Validation audits.
• Participates in business leadership groups and represents the department.
• Serves as a subject matter expert; identifies training opportunities.
• Maintains current knowledge of ICD-9/ICD-10 requirements and guidance.

Skills

ICD-9 coding

HCC coding

Medicare Advantage

Strong communication

Education

HS diploma

Medical Coder certification

BS in health sciences

Job description

Elevance Health, Inc. is seeking a Coding Auditor Senior to audit diagnosis data from physician and hospital records to ensure ICD-9/ICD-10 coding accuracy and risk adjustment compliance. The role supports revenue projects and RADV audits with possible national scope.

The position offers virtual, full-time work with occasional in-person training and potential alternate locations within commuting distance. Strong attention to detail and healthcare coding expertise are essential.