Optum Health Coding Risk Adjustment Jobs in Florida

Anticipated End Date:
2026-06-06
Position Title:
Manager Coding (Medical) Analysis
Job Description:
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 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)
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.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
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.
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.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
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, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. 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.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
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.