Senior Medical Coding Auditor (Remote)

Elevance Health (Anthem); St. Louis (MO); Hybrid; USD 70,000 - 95,000; Full time

Job summary

Elevance Health in the United States seeks a Coding Auditor Senior to audit diagnosis data from physician and hospital records, ensuring proper ICD-9/ICD-10 coding and compliance with risk-adjustment requirements. This role offers flexible work options with virtual full-time work, in-person training sessions, and occasional office visits within commuting distance from St.

Louis, MO. Responsibilities include audits for revenue projects and RADV, supporting national risk adjustment data

Qualifications

• Requires HS diploma or equivalent and 3+ years of medical records coding experience.
• Medical Coder certification from an accredited source required.

Responsibilities

• Audit diagnosis data from physician and hospital records for ICD-9/ICD-10 coding and risk adjustment.
• Assist with National and Targeted Risk Adjustment Data Validation audits (RADV).
• Participate in department leadership groups and identify training opportunities.
• Maintain current knowledge of audit requirements and guidance.

Skills

Strong communication skills

Medicare Advantage experience

ICD-9/ICD-10 coding

Education

HS diploma or equivalent

Medical Coder certification

Job description

Elevance Health in the United States seeks a Coding Auditor Senior to audit diagnosis data from physician and hospital records, ensuring proper ICD-9/ICD-10 coding and compliance with risk-adjustment requirements. This role offers flexible work options with virtual full-time work, in-person training sessions, and occasional office visits within commuting distance from St.

Louis, MO. Responsibilities include audits for revenue projects and RADV, supporting national risk adjustment data