Certified Coding Analyst

Job Summary

A company is looking for an Analyst, Pre-Pay Dispute Coding (Remote).

Key Responsibilities

• Review coding-related provider claims denials and examine medical records to determine service substantiation
• Conduct independent audits of non-medical records for billing accuracy and make timely decisions on denials
• Identify and document coding errors, collaborating with internal departments to ensure compliance and precise code editing

Required Qualifications

• At least 2 years of experience in medical coding or billing
• Active and unrestricted Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification
• Ability to independently read and comprehend medical records
• Comfortable in a production-centric environment with high quality standards
• Proficient in Microsoft Office, including Outlook, Word, and Excel