Senior Medical Coding Auditor – Remote

Elevance Health, Inc.; Oregon; Híbrido; USD 70.000 - 95.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Remote work option

Descripción de la vacante

Elevance Health is seeking a Coding Auditor Senior to audit diagnosis data from physician and hospital records, ensuring ICD-9/ICD-10 coding accuracy and compliance with risk adjustment requirements.

The role involves audits for revenue projects and RADV, participation in leadership groups, and identifying training opportunities. A HS diploma with 3+ years of coding experience and a Medical Coder certification are required; BS in health sciences and Medicare Advantage experience are preferred.

Formación

• Requires HS diploma and at least 3 years of medical coding experience.
• Medical Coder certification from AHIMA, AAPC, or PMI required.
• Experience with ICD-9 coding; HCC coding preferred.

Responsabilidades

• Audit diagnosis data from physician/hospital records for ICD-9/ICD-10 coding accuracy.
• Support RADV and revenue projects through audits.
• Identify training opportunities and stay updated on requirements.

Conocimientos

Communication skills

Medicare Advantage

ICD-9 coding

HCC coding

Educación

HS diploma or equivalent

Medical Coder certification

BS in health sciences

Descripción del empleo

Elevance Health is seeking a Coding Auditor Senior to audit diagnosis data from physician and hospital records, ensuring ICD-9/ICD-10 coding accuracy and compliance with risk adjustment requirements.

The role involves audits for revenue projects and RADV, participation in leadership groups, and identifying training opportunities. A HS diploma with 3+ years of coding experience and a Medical Coder certification are required; BS in health sciences and Medicare Advantage experience are preferred.