CPC Certified Claims Analyst

Job Summary

To ensure clean claim submission and timely resolution of coding-related denials, the full-time Claims and Coding Denial Analyst will manage claims for professional services, FQHC, MSO, and ASCs, with opportunities for remote or hybrid work after six months for local candidates.

Key responsibilities

• Maintain up-to-date knowledge of coding, compliance, and documentation guidelines
• Resolve coding denials through correction or appeal, collaborating with relevant stakeholders as needed
• Provide coding guidance to providers and charge entry staff, while documenting and reporting high-volume denial trends

Required qualifications

• CPC or CCA certification required
• At least 2 years of active E&M and/or Surgical Coding experience
• Comprehensive knowledge of ICD-10-CM, CPT, and HCPCS coding
• Experience dealing with third-party insurance companies regarding claim processing and coding denials
• Epic Resolute experience is helpful