Job Summary
A company is looking for a Coding Policy Analyst to coordinate and manage coding policies and edits within their claims editing system.
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 and implement changes to coding guidelines and regulations from external agencies
Required Qualifications
- Coding certification through AAPC (CPC) or AHIMA (CCS) upon hire
- 5 years of experience in CPT coding from chart extraction in a healthcare setting
- 5 years of experience with detailed coding applications and Microsoft Office