Senior Medical Coding Auditor - Remote & Flexible

ANTHEM INSURANCE COMPANIES INC; St. Louis (MO); Hybrid; USD 70,000 - 95,000; Full time

Job summary

Elevance Health is seeking a Coding Auditor Senior to audit diagnosis data from physician and hospital records for ICD-9/ICD-10 coding accuracy and risk adjustment compliance. The role supports RADV projects and collaborates in leadership groups to drive training and knowledge sharing.

Hybrid/remote-friendly with in-person training sessions; travel is not required unless specified. AHS/AKC certification is required, with a preference for Medicare Advantage experience.

Qualifications

• Requires a HS diploma and minimum 3 years as a medical records coder.
• Must hold an accredited Medical Coder certification (AHIMA/APC or PMI).

Responsibilities

• Audits diagnosis data from physician and hospital records for ICD-9/ICD-10 coding accuracy.
• Assists with National and Targeted RADV audits.
• Participates in department leadership groups and training opportunities.
• Maintains up-to-date knowledge of audit requirements and guidance.

Skills

Auditing

ICD coding

Medical records

Communication

Training opportunities

Education

High school diploma

Medical Coder certification

Tools

Coding software

Medical record databases

Job description

Elevance Health is seeking a Coding Auditor Senior to audit diagnosis data from physician and hospital records for ICD-9/ICD-10 coding accuracy and risk adjustment compliance. The role supports RADV projects and collaborates in leadership groups to drive training and knowledge sharing.

Hybrid/remote-friendly with in-person training sessions; travel is not required unless specified. AHS/AKC certification is required, with a preference for Medicare Advantage experience.