Certified Medical Coding Analyst

Job Summary

To support coding compliance and payment integrity initiatives, the full-time Certified Medical Coding Analyst will oversee and maintain code edit systems, research guidelines, evaluate edits, and collaborate with multi-disciplinary teams to present recommendations to leadership.

Key responsibilities

• Research official coding guidelines and evaluate system edits to ensure compliance and integrity
• Present financial impact recommendations to leadership and multi-disciplinary teams based on analytics
• Collaborate with business analysts for system updates and prepare educational materials for providers

Required qualifications

• Bachelor's degree with 2+ years of relevant coding experience, or an associate degree with 5+ years, or high school equivalency with 8+ years of relevant experience
• Completion of a medical coding program with certification (CPC, COC, RHIT, RHIA, CCA, and/or CCS)
• Knowledge of Epic healthcare software or claim editing systems like Optum CES or Claritev ACE
• Strong understanding of medical coding guidelines including CPT, HCPCS, ICD10, and payment policies
• Ability to work independently and collaboratively in a team environment