CPC Licensed Coding Support Coordinator

Job Summary

CPC Licensed Coding Support Coordinator, a full-time position that provides medical coding, system configuration, and operational support to the Medical Policy Team while participating in cross-functional meetings and ensuring compliance with coding requirements.

Key Responsibilities

• Support Medical Policy Team's operations, including managing timelines and filing external appeals
• Perform medical policy coding analyses and generate reports to recommend necessary policy updates
• Monitor and triage inquiries related to medical policy and assist in documentation and communication efforts

Required Qualifications

• High school diploma or GED
• Certified Professional Coder (CPC) required, with certification to be obtained within 12 months of hire
• 4+ years of experience in provider payment, claims, or medical coding, demonstrating knowledge of ICD-10, HCPC, and CPT
• Detail-oriented with a commitment to accuracy and quality in deliverables
• Proficient with MS Office and capable of managing multiple tasks effectively