Certified Coding Analyst

Job Summary

A company is looking for a Health Services Coding Analyst.

Key Responsibilities

• Lead the analysis and implementation of complex medical policy content within claims processing systems
• Maintain claims processing system infrastructure to ensure compliance and accurate claims adjudication
• Serve as a subject matter expert for medical policy configuration and mentor Coding Specialists

Required Qualifications

• Associate degree or direct and applicable work experience preferred
• Certified Professional Coder (CPC) required
• Clinical background in a health-related discipline or direct work experience in a clinical setting
• 7+ years of related healthcare experience in provider payment, claims, or medical coding
• Demonstrated expertise in medical coding and terminology