Washington Licensed Coding Policy Analyst

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 changes to coding guidelines and implement updates in the 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 with a healthcare provider or insurance company
• 5 years of experience with detailed coding applications and Microsoft Office tools