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 analyze, configure, and administer complex medical policy content within claims processing systems while mentoring Coding Specialists and ensuring compliance with medical policies.

Key responsibilities

• Lead the analysis and implementation of complex medical policy coding requirements and system edits
• Maintain claims processing system infrastructure to ensure compliance and accurate claims adjudication
• Collaborate with cross-functional teams to resolve coding-related issues and contribute to medical policy development

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