Pennsylvania Licensed Coding Analyst

Job Summary

To support the financial goals of the organization, the full-time Pennsylvania Licensed Coding Analyst will conduct thorough reviews of billed services and medical records, make reimbursement recommendations, and assist with coding and billing compliance while working remotely.

Key responsibilities:

• Conduct comprehensive reviews of claims, authorizations, and medical records to ensure accurate coding and billing
• Provide recommendations for recovery efforts based on contracts, policies, and industry standards
• Create and maintain reports to track department data and assist in onboarding new team members

Required qualifications:

• CPC-Certified Professional Coder through AAPC or CCS-Certified Coding Specialist through AHIMA required
• High School Diploma or Equivalent (GED) required; graduate from a Specialty Training Program preferred
• Minimum of 3 years of relevant experience required
• Minimum of 2 years of clinical experience preferred
• Experience with HIPAA compliance and secure work environments