Anticipated End Date:
2026-06-06
Position Title:
Manager Coding (Medical) Analysis
Job Description:
Manager Coding Analysis
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
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)
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.
