A company is looking for a Coding Policy Analyst to coordinate coding policies and edits within their claims editing system.
Key Responsibilities
Update and create coding policies and associated edit configurations
Respond to provider and member appeals with appropriate coding rationale
Monitor changes to coding guidelines and assist in their implementation in claims software
Required Qualifications
Coding certification through AAPC (CPC) or AHIMA (CCS) upon hire
5 years of experience related to CPT coding from a healthcare provider or insurance company
5 years of experience in detailed coding applications and Microsoft Office
Policy Analyst • Dorchester, Massachusetts, United States