Carebridge Medical Coding Analyst Sr
| Company | Elevance Health |
|---|---|
| Location | Texas, USA, Florida, USA, Tennessee, USA, Indiana, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | |
| Experience Level | Mid Level, Senior |
Requirements
- 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 Coder (CPC or CCS-P) required.
Responsibilities
- 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.
Preferred Qualifications
- Knowledge of medical terminology and anatomy strongly preferred.
- Experience with the most current CMS Risk Adjustment Model strongly preferred.
- AAPC Certified Risk Adjustment Coder (CRC) is preferred.