Coding Policy Analyst

Job Summary

Coding Policy Analyst is a full-time remote position responsible for coordinating coding policies, managing appeals, and ensuring compliance with coding guidelines and regulations.

Key Responsibilities

• Update and create coding policies and edit configurations within the claims editing system
• Respond to provider and member appeals with appropriate coding rationale
• Monitor changes to coding guidelines and assist with implementation in claims adjudication software

Required Qualifications

• Coding certification through AAPC (CPC) or AHIMA (CCS) upon hire
• 5 years of experience in CPT coding from chart extraction in healthcare settings
• 5 years of experience in detailed coding applications and Microsoft Office