Certified Clinical Coding Analyst

Job Summary

To ensure compliance and accuracy in medical billing, the part-time Certified Clinical Coding Analyst will perform quality audits of clinical review cases, determine the accuracy of coding and payment recommendations for pre-payment claims, and manage daily case review assignments in a remote work environment.

Key responsibilities:

• Conduct quality audits of CPT, HCPCS, and modifiers assigned to claims
• Analyze medical records to determine coding accuracy and payment recommendations
• Identify aberrant billing patterns and ensure adherence to compliance policies

Required qualifications:

• High School Diploma/GED
• Certified Coder AHIMA or AAPC Certified coder (CPC, CCS, CCS-P)
• 2+ years of experience as a certified coder with CPT/HCPCS/ICD coding experience
• 2+ years of experience with health insurance business and regulatory guidelines
• Intermediate level of experience with medical record review and computer skills