Senior Medical Coding Analyst — Remote

Elevance Health; Lowes Grove (NC); On-site; USD 75,000 - 110,000; Full time

Job summary

Elevance Health is seeking a Sr Coding Analyst to review, audit, and code medical records for reimbursement, training, education and compliance.

Primary duties include audits of documentation for CPT/ICD coding, querying physicians when codes are unclear, training others on coding guidelines, and annual code reviews. The role also supports other Coding Analysts and ensures quality and compliance.

Qualifications

• Requires a HS diploma or equivalent and minimum of 2 years of experience; or any combination of education and experience providing an equivalent background.
• Certified Medical Coder (CPC or CCS-P) required.
• Experience with CMS Risk Adjustment Model/version strongly preferred.
• AAPC CRC certification highly preferred.
• 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.
• Serves as a resource to Coding Analysts.

Skills

Audits and reviews medical docs

Queries physicians

Trains and educates others

Resource to Coding Analysts

Education

CPC or CCS-P certification

Job description

Elevance Health is seeking a Sr Coding Analyst to review, audit, and code medical records for reimbursement, training, education and compliance.

Primary duties include audits of documentation for CPT/ICD coding, querying physicians when codes are unclear, training others on coding guidelines, and annual code reviews. The role also supports other Coding Analysts and ensures quality and compliance.