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Elevance Health · 1 hour ago

Coding Auditor Sr

Nashville, TN

Full-time

Hybrid

Mid, Senior Level

3+ years exp

Elevance Health is a health company dedicated to improving lives and communities. The CareBridge Coding Auditor Sr is responsible for auditing coders that diagnose data collected from medical records to ensure compliance with coding standards and risk adjustment requirements.

Health CareHealth InsurancePersonal HealthWellness

H1B Sponsor Likely

Responsibilities

Audits coders that diagnosis data retrieved from physician and hospital medical records and/or data extract files for both revenue project and RADV

Assists with National and Targeted Risk Adjustment Data Validation audits

Participates and represents the department in business leadership groups

Serves as a subject matter exert

Assesses and identifies training opportunities

Maintains current knowledge of requirements and guidance required in the performance of audit duties

Qualification

Medical Coder certificationICD-10 codingCPCCRC CertificationHCC codingTelehealthMedicare AdvantageMedicaidElectronic indexes

Required

Requires a H.S. diploma or equivalent and minimum of 3 years of experience as coder of medical records in physician office, hospital, or insurance/coding office setting; or any combination of education and experience, which would provide an equivalent background

Preferred

Medical Coder certification from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute)

Experience working with Medicare Advantage and Medicaid preferred

Experience with ICD-10 coding, CPT and CPTII a plus

HCC coding preferred

CPC or CRC Certification is needed for this position

Familiarity with electronic indexes is highly preferred

Experience with telehealth visits is preferred

Benefits

Merit increases

Paid holidays

Paid Time Off

Incentive bonus programs

Medical

Dental

Vision

Short and long term disability benefits

401(k) +match

Stock purchase plan

Life insurance

Wellness programs

Financial education resources

Company

Elevance Health

Glassdoor3.6

Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.

Founded in 1944

Indianapolis, Indiana, USA

10001+ employees

https://www.elevancehealth.com

H1B Sponsorship

Elevance Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

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Trends of Total Sponsorships

2025 (488)

2024 (604)

2023 (660)

2022 (222)