Licensed Coding Systems Analyst

Job Summary

To ensure coding compliance and payment integrity, the full-time Licensed Coding Systems Analyst will oversee and maintain code edit systems, research coding guidelines, present financial recommendations, and collaborate with business analysts and vendors while working remotely.

Key responsibilities

• Research and evaluate coding guidelines and system edits to support compliance and financial integrity
• Present analytical recommendations regarding financial impacts to multi-disciplinary teams and leadership
• Collaborate on system updates and maintenance while preparing educational materials for providers

Required qualifications

• Bachelor's degree with 2+ years of relevant coding experience, or an associate degree with 5+ years, or high school equivalency with 8+ years of relevant experience
• Completion of a medical coding program with certification (CPC, COC, RHIT, RHIA, CCA, and/or CCS)
• Knowledge of Epic healthcare software or claim editing systems such as Optum CES or Claritev ACE
• Strong understanding of medical coding regulations, including CPT, HCPCS, ICD10, and governmental payment policies
• Ability to analyze complex coding issues and communicate effectively with technical and non-technical stakeholders