CPC Certified Medical Coding Coordinator

Job Summary

Supporting the Medical Policy Team's operations, the full-time remote Medical Policy & Coding Support Coordinator (CPC Certified) will provide medical coding, system configuration, and administrative support, while conducting coding analyses and utilization reporting to recommend updates to medical policies.

Key responsibilities

• Manage monthly Medical Policy production timelines and support Medical Policy Committee operations, including minute-taking and agenda preparation
• Perform coding analyses and generate reports to recommend necessary changes based on medical policy benchmarks and utilization patterns
• Ensure documentation related to health policy decisions is complete and accurate, while updating system configurations as needed

Required qualifications

• High school diploma or GED
• Certified Professional Coder (CPC) required, with the need to maintain certification throughout employment
• 4+ years of experience in provider payment, claims, or medical coding, demonstrating knowledge of ICD-10, HCPC, and CPT
• Strong organizational and project management skills, with the ability to manage multiple tasks and deadlines effectively
• Proficient with MS Office and technology-savvy, with a commitment to quality and accuracy in all deliverables