Healthcare Coding Analyst

Job Summary

A company is looking for an Associate Claims Validation Analyst.

Key Responsibilities

• Interpret and translate complex healthcare policies into actionable claims editing logic
• Leverage data-driven insights to identify new policy opportunities and make recommendations
• Collaborate with cross-functional teams to improve tooling and streamline development workflows

Required Qualifications

• Bachelor's degree preferred in Healthcare, Technology, or a related field
• 4+ years of experience in healthcare coding, billing, or payment accuracy
• National coding credential: CPC, CCS-P, RHIA, CCS, CPB or equivalent
• Deep familiarity with CMS policies and claims processing workflows
• Intermediate Excel skills (pivot tables, VLOOKUP, functions)