Coding Analyst II (Medical Coding)

TL;DR

Coding Analyst II (Medical Coding): Ensuring revenue integrity and compliance through accurate assignment of ICD-10-CM, CPT, and HCPCS codes with an accent on denial management and regulatory adherence. Focus on identifying coding denial patterns, reducing revenue leakage, and collaborating with clinical and billing teams to improve documentation quality.

Location: Remote (Must be based in the USA)

Salary: $70,000 - $75,000 USD

Company

hirify.global is a genomics leader providing personalized health insights and industry-leading exome and genome testing to enable precision medicine.

What you will do

• Review clinical documentation to assign accurate ICD-10-CM, CPT, and HCPCS codes in compliance with regulatory and payer requirements.
• Manage custom coding, pricing, and patient inquiry queues to ensure accurate prior authorization and claim submissions.
• Investigate and resolve coding-related denials to prevent payment delays and reduce revenue leakage.
• Analyze denial patterns and collaborate cross-functionally to implement strategies for revenue integrity.
• Serve as a medical coding subject matter expert for internal teams and participate in external audits.
• Monitor regulatory updates and payer policy changes to maintain coding accuracy.

Requirements

• Location: Must be based in the United States (indicated by US-specific benefits and coding standards).
• Associate’s degree in Business, Coding, or related field, or equivalent professional experience.
• Minimum 2 years of medical coding experience in inpatient, outpatient, or professional services.
• Certification: CPC, COC, CCS, CCS-P, or CCA required.
• Proficiency in EHR systems, coding software, and Microsoft Excel for data analysis.
• Strong knowledge of medical terminology, payer guidelines, and reimbursement methodologies.

Culture & Benefits

• Fully remote work environment with a home-office setup.
• Comprehensive health, dental, vision, and life insurance.
• 401k Retirement Savings Plan.
• Paid Time Off (PTO) and employee discounts.
• A collaborative, innovation-driven culture focused on making a patient-centric impact.