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Medical Record Training Consultant


  • TX, Houston
  • New Mexico, New Mexico
  • Arizona, Arizona
  • Washington, Washington
  • Nevada, Nevada
  • Colorado, Colorado
  • California, California



Title :  Medical Record Training Consultant

Location: Remote/WFH - Texas | Arizona| California | Colorado| Nevada | New Mexico | Washington; Candidate must reside in posted state, all others will be disqualified

Build the Possibilities. Make an extraordinary impact. 
The Medical Record Training Consultant is responsible for evaluating physician and hospital medical records and medical assessment forms to ensure compliance with federal guidelines and medical documentation requirements.

How you will make an impact:
•    Serves as final arbiter regarding the Risk & Recovery’s Retrospective Risk Adjustment (RA) Coding Team. 
•    Identifies training opportunities for internal and external stakeholders related to federal guidelines, best practices, and medical record documentation requirements. 
•    Collects and analyzes data to formulate recommendations and solutions based on trends and results. 
•    Provides feedback to Risk & Recovery leadership on performance improvement opportunities as a result of performance gaps. 
•    Acts as a subject matter expert to internal and external stakeholders in the area of federal requirements and best practices. 
•    Participates in and represents the department in business leadership groups, including external professional groups specializing in coding and provider education. 
•    Assists the business with research and documentation of workflows and policies and procedures.

Minimum Requirements:
•    Requires BA/BS in health sciences, health management, or nursing and minimum of 5 years of ICD-9 coding or medical record review experience in a consultative role; or any combination of education and experience, which would provide an equivalent background. 
•    CPC from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) and CPMA (Medical Auditing Certification) from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) or equivalent certification required.

Preferred skills, capabilities and experiences: 
•    Microsoft Office proficient
•    Strong Communication Skills - written and verbal 

•    In-depth knowledge of Hierarchical Condition Category (HCC) and Medicare Risk Adjustment programs.

Applicable to Colorado Applicants Only Annual Salary Range*: $62,080-$77,600 (Min – MRP)  Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.   * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting.  The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future.  No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. 


Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at 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 may contact for assistance.

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