Certified Coding Specialist Analyst

Job Summary

Managing the claims coding rule process, the full-time remote Certified Coding Specialist Analyst will evaluate change requests from various perspectives, provide regulatory research, and support the provider dispute team.

Key responsibilities

• Evaluates claims coding rule change requests and makes recommendations on payment policies
• Maintains a comprehensive library of coding rules and documents supporting authority for each rule
• Participates in cross-functional teams to address key claims coding issues and manages high visibility projects

Required qualifications

• 5+ years of experience in the medical coding field with a facility, provider, or payer organization
• CCS - Certified Coding Specialist certification required
• Associate degree preferred, or a combination of education and experience
• Knowledge of CMS/State laws and AMA guidance
• Strong knowledge of electronic medical records/billing systems and medical terminology