Manager Coding (Medical) Analysis

Manager Coding 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

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.

Your Responsibilities

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.

Benefits of Working with TP

We offer a range of market‑competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Hybrid Workforce Strategy

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

Equal Employment Opportunity

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, and local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Background Checks

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Florida Screening

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.