Manager Medical Coding Analysis

Manager Coding (Medical) Analysis

CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through homecare and community-based services.

LOCATION: Requires 3 days per week in the office. You must be within a reasonable commute of one of our eligible offices.

HOURS: General business hours, Monday through Friday. (Core hours: 8-5)

Hybrid 2: This role requires associates to be in-office 3 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 Manager Coding Analysis is responsible for managing a team that audits, reviews, and codes medical records for the purpose of reimbursement and compliance using ICD-9 and CPT codes.

Primary duties may include, but are not limited to:

• Develops, implements, and monitors policies, procedures, and systems for proper coding and quality assurance.
• Manages workloads, training, and problem resolution.
• Oversees all facets of the daily operations and ensures compliance.
• Develops and implements systems and processes to establish and maintain records for the operating unit.
• Manages projects designed to improve billing practices and increase revenues.
• Assists physicians and providers with questions and problems related to coding and billing.
• Plans, organizes, and conducts individual and group provider in-service programs.
• Conducts quality control studies and audits and implements solutions.
• Trains staff on coding, documentation and billing regulations.
• Participates in developing, implementing, and maintaining policies and objectives.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.
• Associates in this role are expected to have knowledge of medical terminology and anatomy.

Required Qualifications

• Requires a H.S. diploma or equivalent and a minimum of 5 years experience; or any combination of education and experience which would provide an equivalent background.

Preferred Qualifications

• Certified Medical Coder (CPC, CCS-P) is a must for this position!
• Previous management/supervisory experience is strongly preferred.
• BA/BS in Health Care or Business preferred.
• Experience with the most current CMS Risk Adjustment Model strongly preferred
• AAPC Certified Risk Adjustment Coder (CRC) is preferred.

Job Level: Manager

Workshift: 1st Shift (United States of America)

Job Family: MED > Medical Ops & Support (Non-Licensed)