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Senior Coding Analyst
Elevance Health. Review, audit, and code medical records for reimbursement, training, education, and compliance .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical coding, including ICD-9 and CPT coding, with a strong focus on compliance and reimbursement processes. Capable of training others and providing guidance on coding documentation and claim payment guidelines.
Highest-signal resume keywords
Certified Medical Coder (CPC or CCS-P)AAPC Certified Risk Adjustment Coder (CRC)ICD-9 CodingCPT CodingMedical Terminology Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical Record ReviewCoding AuditICD-9 CodingCPT CodingDocumentation ReviewClaim Payment GuidelinesRisk Adjustment ModelCoding EducationQuerying PhysiciansBilling Assistance
Soft Skills
TrainingCommunicationProblem-SolvingResourcefulness
Certifications & Qualifications
Certified Medical Coder (CPC or CCS-P)AAPC Certified Risk Adjustment Coder (CRC)
Industry Keywords
Medical CodingComplianceReimbursementMedical TerminologyAnatomyCMS Risk Adjustment Model
About the role
Key responsibilities & impact- Review, audit, and code medical records for reimbursement, training, education, and compliance
- Audit and review medical documentation for appropriate ICD-9 and CPT coding and documentation
- Query physicians when code assignments are not straightforward or documentation is unclear
- Train and educate others on coding documentation, claim payment guidelines, and related issues
- Review CPT and ICD-9 codes annually for accuracy and implement changes
- Assist physicians and providers with coding, documentation, and billing questions and problems
- Serve as a resource to Coding Analysts
Requirements
What you’ll need- H.S. diploma or equivalent and minimum of 2 years of experience; or any combination of education and experience providing an equivalent background
- Certified Medical Coder (CPC or CCS-P) required
- Experience with the most current CMS Risk Adjustment Model/version strongly preferred
- AAPC Certified Risk Adjustment Coder (CRC) highly preferred
- Knowledge of medical terminology and anatomy strongly preferred
- Must be within a reasonable commuting distance of one of the posted locations, unless an accommodation is granted
- Must be able to work 8:00a–5:00p, Monday through Friday, Eastern or Central time
Benefits
Comp & perks- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short-term disability benefits
- Long-term disability benefits
- 401(k) match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Virtual full-time work, except required in-person training sessions