Medical Coding Education Associate

Medical Coding Education Associate

Medical Coding Education Associate

Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. The ideal candidate will be located near one of the following Pulsepoints: Norfolk-VA, Richmond-VA, Latham-NY or Waukesha-WI.

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.

Carelon, a proud member of the Elevance Health family of companies, is a healthcare services organization that takes a whole-health approach to making care more integrated, personalized, and affordable. We put people at the centerconnecting physical, behavioral, social, and pharmacy services, along with clinical expertise, research, operations, and advanced technology to help care work better, together. Among us are specialty-care physicians, nurse practitioners, pharmacists, engineers, data scientists, and other dedicated and caring health professionals. While our roles may differ, our purpose is shared: to make a positive impact on whole health.

The Medical Coding Education Associate is responsible for comprehensive analysis of claims data to generate refined and industry-relevant concepts that govern the prosperity of the company across all business lines and client interactions.

How you will make an impact:

• Engages with providers and other internal external stakeholders to ensure proactive collaboration in reviewing coding and documentation guidelines.
• Examine medical records and various documentation to ensure the precision of code assignment.
• Researches, validates, and stays abreast of medical coding and billing issues, trends and changes in regulations and industry standards to recommend concepts.
• Conducts analyses of claims data to bolster the creation of educational concepts.
• Launch of education concepts.
• Provide providers with comprehensive feedback on current year coding guidelines and industry expertise, facilitated through phone and email correspondences to ensure that provider understands coding and documentation guidelines for the applicable concept(s).
• Executes a detailed review of medical records to confirm whether the documentation justifies the level of service provided. Completion of chart reviews and detailed education provided based on the records received.

Minimum Requirements:

• Requires an AA/AS degree and a minimum of 4 year of experience working with ICD-9/10CM, CPT, and HCPCS coding; or any combination of education and experience, which would provide an equivalent background.
• Requires current, valid, active, and unrestrictive RHIA certification as a Registered Health Information Administrator and/or RHIT certification as a Registered Health Information Technician and/or CCS as a Cert Coding Specialist and/or CPC Cert Professional Coder.

Preferred Skills, Capabilities, and Experiences:

• Previous experience in healthcare industry is strongly preferred.

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $58,000.00 to $91,350.00.

Location(s): Norfolk-VA, Richmond-VA and Latham-NY.

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 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.