Certified Coding Analyst

Job Summary

Certified Coding Analyst reviews and resolves coding and charge-related edits in a full-time position, requiring expertise in medical necessity and coding initiatives.

Key Responsibilities

• Extracts statistical data and performs root cause analysis to identify trends
• Manages Epic work queues for Correct Coding Initiative and Medical Necessity edits
• Assists in training new Revenue Integrity team members and coordinates edit resolution workflow

Required Qualifications

• Associates degree in business, healthcare, or related field, or equivalent experience
• Current coding certification (e.g., RHIA, RHIT, CPC, CCS) required at hire or within 6 months
• Two years of Revenue Cycle experience
• Extensive knowledge of ICD-10-CM, CPT, HCPCS, and modifiers
• Medical terminology knowledge required