Medical Coder Analyst

Job Summary

To support healthcare billing accuracy, the full-time Medical Coder Analyst will perform research and analysis on coding standards and claims data, ensuring compliance with federal regulations while collaborating with internal teams.

Key responsibilities

• Review and analyze billing for medical appropriateness and accuracy
• Research and interpret coding and billing standards while preparing clear findings
• Assist with internal claim recommendations and clinical education of staff

Required qualifications

• Two years of experience with inpatient/outpatient medical procedure coding and billing
• Two years of experience utilizing coding guidelines such as CPT, ICD-10, and HCPCS
• Basic SQL knowledge and proficiency in Microsoft Excel and Word
• One year of experience in data mining or claim edit testing preferred
• Required licensures or professional certifications as applicable