Healthcare Coding Analyst

Job Summary

A company is looking for a Concept Development Analyst.

Key Responsibilities

• Provide clinical, coding, and reimbursement guidance to AI and analytics teams to inform model logic and outcomes
• Validate AI-enabled outputs for clinical accuracy and reimbursement appropriateness while supporting model tuning
• Collaborate with stakeholders to align selection methodologies with operational workflows and enhance audit concepts

Required Qualifications

• Minimum of 5 years of experience in data analytics, medical billing, inpatient and outpatient coding, auditing, or CDI
• Bachelor's or Graduate degree required
• Proficiency in healthcare coding systems and payment methodologies (CPT, HCPCS, ICD-10, etc.)
• AAPC or AHIMA coding certification preferred
• Experience using AI-enabled tools for data analysis and workflow improvement is preferred