CPC Certified Coding Analyst

Job Summary

Providing clinical leadership and expertise, the full-time remote Health Services Coding Analyst (CPC Certified Coding Analyst) will manage 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 coding requirements within claims processing systems
• Maintain the integrity of claims processing system infrastructure to ensure compliance with regulatory standards and accurate claims adjudication
• Mentor and train Coding Specialists while providing medical policy configuration support to operational partners

Required qualifications

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