California Licensed Coding Analyst

Job Summary

California Licensed Coding Analyst, responsible for coordinating detailed coding work, updating coding policies, and addressing provider and member appeals, working full-time in a remote capacity.

Key Responsibilities

• Update and create Coding Policies and edit configurations within the claims editing system
• Respond to provider and member appeals with appropriate coding rationale
• Monitor and implement changes to coding guidelines and regulations from external agencies

Required Qualifications

• Coding certification through AAPC (CPC) or AHIMA (CCS) upon hire
• 5 years of experience in CPT coding from chart extraction with a healthcare provider or insurance company
• 5 years of experience in detailed coding applications and Microsoft Office capabilities