Coding Analyst Sr. responsible for auditing and coding medical records for Elevance Health. Training others on coding documentation and query physicians for unclear assignments.
Responsibilities
Reviewing, auditing, and coding medical records for reimbursement
Auditing and reviewing medical documentation for appropriate ICD-9 and CPT coding and documentation
Querying physicians for unclear code assignments
Training and educating others on coding documentation and payment guidelines
Reviewing CPT and ICD-9 codes annually for accuracy and implementing changes
Assisting physicians and providers with coding and billing questions
Requirements
Requires a H.S. diploma or equivalent
Minimum of 2 years of experience
Certified Medical Code (CPC or CCS-P) required
Experience with the most current CMS Risk Adjustment Model strongly preferred
AAPC Certified Risk Adjustment Coder (CRC) is highly preferred
Knowledge of medical terminology and anatomy strongly preferred
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