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-10 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-10 codes annually for accuracy and implements changes.
Assists physicians and providers with questions and problems related to coding, documentation and billing
Requirements:
a H.S. diploma or equivalent and minimum of 1 year of experience; or any combination of education and experience, which would provide an equivalent background.
Preferable Risk Adjustment Experience .
Certified Medical Code (CPC or CCS-P) required. Knowledge of medical terminology and anatomy strongly preferred.
For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $26.90 to $33.62
Locations: California
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
