Carelon Global Solutions (an Elevance Health Company)
Healthcare operations powerhouse for Elevance Health (Anthem Blue Cross Blue Shield).
Indianapolis
20,000+ employees in India
Hybrid, On-site
Carelon Healthcare Academy – certified training with direct health plan absorption
Assessment & Interview Roadmap
Standard recruitment and technical assessment pipeline for medical coders, trainee graduates, and auditors applying to Carelon Global.
Medical Science Screening Test
30 Mins · MCQ FormatAssesses foundational life science knowledge in Human Anatomy, Organ Physiology, Clinical Pathophysiology, and Medical Terminology prefixes/suffixes. Passing cutoff is typically ≥70%.
Coding Practical & Chart Scenario Assessment
45 Mins · Scenario CodingHands-on coding of realistic operative reports and clinic encounter notes. Covers Official ICD-10-CM coding conventions, CPT modifier application (25, 59, XE/XP/XS/XU), and 2021/2023 E/M MDM scoring.
Technical Lead & Quality Audit Viva
Technical Viva1-on-1 interview with a Lead Auditor or SME. Involves discussion on complex DRG principal diagnosis sequencing, Hierarchical Condition Categories (HCC risk adjustment), medical necessity, and clinical denial mitigation.
HR Fitment & Offer Rollout
Final StepDiscussion regarding shift timings (Day vs. US Night Shifts), delivery campus preferences, compensation breakdown (fixed vs. variable allowances), credential sponsorship agreements, and joining timeline.
Interview Preparation Checklist
Key Guidelines to Revise
- ICD-10-CM Section I.C Guidelines (Diabetes, Sepsis, Neoplasm, Hypertension).
- Surgery Section CPT Guidelines & Bundling rules.
- Anatomy & Physiology organ systems (Cardio, Neuro, Ortho).
Common Elimination Points
- Misapplying Modifier 59 instead of distinct X{E,S,P,U} modifiers.
- Incorrect primary diagnosis sequencing on inpatient admission cases.
- Failure to meet the minimum 70% MCQ cutoff on basic medical science.
Role Progression Hierarchy & Accepted Certifications
Explore promotion pathways from Trainee Coder to QA Lead, SME, and Operations Manager.
Operating Delivery Campuses (3)
Bengaluru
KarnatakaBagmane Tech Park, CV Raman Nagar & Manyata SEZ
Hyderabad
TelanganaDivyaSree Orion, Gachibowli
Gurugram
HaryanaCandor TechSpace, Sector 48