Coding Analyst Sr.

Coding Analyst Sr. LOCATION : This is a virtual eligible role. You should be within a reasonable proximity to one of our offices. HOURS : 8:00a - 5:00p, Monday through Friday (Eastern or Central time) Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered if candidates   reside   within a commuting distance from an office. The Coding Analyst Sr. is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education and compliance. Primary duties may include, but are not limited to : Audits and reviews medical documentation for appropriate ICD-9 and CPT coding and documentation. Queries physicians when code assignments are not straightforward or documentation is unclear. Trains and educates others on coding documentation, claim payment guidelines, and related issues. Reviews CPT and ICD-9 codes annually for accuracy and implements changes. Assists physicians and providers with questions and problems related to coding, documentation and billing. Serves as a resource to Coding Analysts.

Requires a H.S. diploma or equivalent and minimum of 2 years of experience; or any combination of education and experience, which would provide an equivalent background. Certified Medical Code (CPC or CCS-P) required.

Experience with the most current CMS Risk Adjustment Model/version is strongly preferred. AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. Knowledge of medical terminology and anatomy strongly preferred. Job Level: Non-Management Non-Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed/Certified - Other Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part