CPC Certified Coding Analyst

Job Summary

Providing clinical leadership and subject-matter expertise, the full-time remote Health Services Coding Analyst (CPC Certified Coding Analyst) will support the analysis, configuration, and administration of complex medical policy content within claims processing systems, ensuring accurate implementation and serving as a liaison between business and technical teams.

Key responsibilities

• Lead the analysis and implementation of complex medical policy content and system edits to ensure compliance
• Maintain claims processing system infrastructure to support accurate claims adjudication and regulatory compliance
• Mentor and train Coding Specialists, providing expertise in medical policy configuration and coding standards

Required qualifications

• Certified Professional Coder (CPC) required
• Associate degree or direct and applicable work experience preferred
• 7+ years of related healthcare experience in provider payment, claims, or medical coding
• Clinical background in a health-related discipline or direct work experience in a clinical setting
• Demonstrated expertise in medical coding and terminology