Senior Medical Coding Auditor — Remote

Elevance Health, Inc.; Tampa (FL); Remote; USD 75,000 - 110,000; Full time

Benefits offered by this job

Paid holidays

Paid Time Off

Medical insurance

Dental insurance

Vision insurance

401(k) + match

Stock purchase plan

Life insurance

Wellness programs

Job summary

Elevance Health, Inc. is seeking a Coding Auditor Senior to audit diagnosis data from physician and hospital records, ensuring proper ICD-9/ICD-10 coding and adherence to risk adjustment standards. This role supports revenue projects, RADV audits, and national risk adjustment initiatives.

The position emphasizes cross-functional collaboration, ongoing training, and staying current with evolving audit requirements. A hybrid/virtual work model is offered with some in-person sessions.

Qualifications

• H.S. diploma or equivalent with minimum 3 years of medical records coder experience.
• Medical Coder certification from AHIMA, AAPC or PMI is required.
• Experience coding in physician office, hospital, or insurance/coding office setting.

Responsibilities

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

Skills

Communication skills

Education

HS diploma or equivalent

Medical Coder certification

Job description

Elevance Health, Inc. is seeking a Coding Auditor Senior to audit diagnosis data from physician and hospital records, ensuring proper ICD-9/ICD-10 coding and adherence to risk adjustment standards. This role supports revenue projects, RADV audits, and national risk adjustment initiatives.

The position emphasizes cross-functional collaboration, ongoing training, and staying current with evolving audit requirements. A hybrid/virtual work model is offered with some in-person sessions.