Senior Medical Coding Auditor - Remote

Elevance Health, Inc.; Wilmington (DE); A distancia; USD 70.000 - 90.000; Jornada completa

Descripción de la vacante

Elevance Health is hiring a Coding Auditor Senior to audit diagnosis data from medical records to ensure accurate ICD-9/ICD-10 coding and risk adjustment compliance. This virtual, full-time role requires occasional in-person training sessions and allows alternate locations within commuting distance.

You will support RADV and revenue audits, participate in leadership groups, and keep current on audit requirements.

Formación

• Requires a HS diploma or equivalent and minimum of 3 years of experience as coder of medical records in physician office, hospital, or insurance/coding office setting.
• Medical Coder certification from accredited source (e.g. AHIMA, AAPC or PM Institute) required.
• BS in health sciences, health management or related field preferred.
• Experience with Medicare Advantage preferred.
• Experience with ICD-9 coding a plus. HCC coding preferred.
• Strong communication skills preferred.

Responsabilidades

• Audits diagnosis data retrieved from physician and hospital medical records and/or data extract files for both revenue project 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 required in the performance of audit duties.

Conocimientos

Auditing skills

Medical coding

Communication skills

Educación

High School Diploma

Medical Coder certification

Descripción del empleo

Elevance Health is hiring a Coding Auditor Senior to audit diagnosis data from medical records to ensure accurate ICD-9/ICD-10 coding and risk adjustment compliance. This virtual, full-time role requires occasional in-person training sessions and allows alternate locations within commuting distance.

You will support RADV and revenue audits, participate in leadership groups, and keep current on audit requirements.