CPC Certified Coding Analyst

Job Summary

Providing clinical leadership and expertise, the full-time remote Health Services Coding Analyst (CPC Certified Coding Analyst) will analyze and implement complex medical policy content within claims processing systems, ensuring compliance and accuracy while mentoring Coding Specialists and supporting operational partners.

Key responsibilities

• Lead the analysis and implementation of complex medical policy coding requirements and system edits
• Maintain the claims processing system infrastructure to ensure compliance with regulatory standards and accurate claims adjudication
• Serve as a subject matter expert in medical coding, collaborating with various teams to resolve coding-related issues and support policy development

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 healthcare experience
• 7+ years of experience in provider payment, claims, medical coding, or similar fields
• Demonstrated expertise in medical coding and terminology