Provider Reimbursement Adm-Certified Professional Coder

Provider Reimbursement Adm-Certified Professional Coder

Apply locations

• IN-INDIANAPOLIS, 220 VIRGINIA AVE
• GA-ATLANTA, 740 W PEACHTREE ST NW
• VA-RICHMOND, 2015 STAPLES MILL RD
• OH-MASON, 4361 IRWIN SIMPSON RD

Time type: Full time

Posted on: Posted 8 Days Ago

End Date: August 31, 2025

Job requisition id: JR156259

Position Title:

Provider Reimbursement Adm-Certified Professional Coder

Job Description:

Sign on Bonus: $1,000

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. Alternate locations may be considered.

Please note that candidates not within a reasonable commuting distance from the posting location(s) will not be considered unless an accommodation is granted as required by law.

This position is not eligible for employment-based sponsorship.

Primary Duties:

• Review medical record documentation supporting Evaluation and Management CPT codes.
• Review medical, reimbursement, and editing policies, conduct research, data analysis, and legislative review to support policy development or revision.
• Translate medical policies into reimbursement rules.
• Update CPT/HCPCS codes and fee schedules, analyzing coverage, policy, and reimbursement implications.
• Coordinate research, respond to inquiries and appeals.
• Audit claims systems and system edits for adjudication accuracy.
• Prepare correspondence to providers regarding coding and fee schedule updates.

Minimum Requirements:

BA/BS degree and at least 2 years of related experience, or equivalent education and experience.

Preferred Skills:

• Certified Professional Coder (CPC), CEMC, and CEDC encouraged.

Job Level:

Non-Management Exempt

Workshift:

Not specified

Job Family:

PND > Pricing Configuration

Note: Resumes are accepted only from agencies with a signed agreement. Unsolicited resumes are property of Elevance Health.

About Us

Elevance Health is dedicated to improving lives and communities, making healthcare simpler. We are a Fortune 25 company with a longstanding healthcare industry presence, seeking passionate leaders at all levels.

How We Work

We foster a culture for growth, driven by our values and behaviors, to achieve our strategy and business outcomes, benefiting consumers, associates, communities, and our business.

Our rewards include merit increases, paid holidays, PTO, bonuses, health benefits, 401(k), stock purchase, life insurance, wellness programs, and financial education.

Our hybrid workforce strategy requires associates to work onsite at least once per week unless specified as virtual. Specific onsite requirements will be discussed during hiring.

COVID-19 and Influenza vaccinations are required for certain roles, with accommodations considered as per law.

We are an Equal Opportunity Employer, considering all qualified applicants without discrimination. Accommodation requests can be directed to We consider applicants with arrest or conviction records in accordance with applicable laws.