CPC Certified Coding Analyst

Job Summary

Providing support for the investigation and resolution of provider appeals, the full-time remote CPC Certified Coding Analyst will review coding-related claims denials, conduct audits for billing accuracy, and communicate determinations to providers.

Key responsibilities

• Review coding-related provider claims denials by examining medical records and denial reasons to ensure compliance with guidelines
• Conduct independent audits of non-medical records to verify billing accuracy and make timely decisions on denials
• Identify and document coding errors, collaborating with internal departments to ensure precise code editing and compliance

Required qualifications

• At least 2 years of experience in medical coding or billing
• Active and unrestricted Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification
• Ability to independently read and comprehend medical records
• Experience working in a production-centric environment with high quality standards
• Proficiency in Microsoft Office, including Outlook, Word, and Excel