Oregon Licensed Coding Analyst

Job Summary

Oregon Licensed Coding Analyst, responsible for coordinating coding policies and edits within a remote, full-time position, while serving as a subject matter expert in coding guidelines and regulations.

Key Responsibilities

• Update and create coding policies and edit configurations in the claims editing system
• Respond to provider and member appeals with appropriate coding rationale
• Monitor changes to coding guidelines and assist with their implementation in claims adjudication software

Required Qualifications

• Coding certification through AAPC (CPC) or AHIMA (CCS) upon hire
• 5 years of experience in CPT coding from chart extraction in healthcare settings
• 5 years of experience with detailed coding applications and Microsoft Office