Coding Analyst II (Medical Coding)

TL;DR

Coding Analyst II (Medical Coding): Supporting coding and reimbursement processes across all lines of business with an accent on ancillary claims review, contract development, and system configuration. Focus on collaborating with cross-functional teams to manage editing logic, provider disputes, and medical policy development.

Company

hirify.global is a major health insurance provider dedicated to serving members through comprehensive healthcare coverage and administrative excellence.

What you will do

• Research, design, and implement coding and reimbursement policies and billing guidelines.
• Coordinate data collection and administrative functions for coding and reimbursement changes.
• Serve as an advisory resource for coding and billing issues across corporate committees.
• Develop educational materials for staff training purposes.
• Provide coding consultations to support administrative functions and present recommended code editing changes.

Requirements

• Bachelor's degree or 4 years of equivalent corporate work experience required.
• 3 years of experience in medical or clinical coding.
• Coding certification (CPC, CPC-H, CCS-P, or CCS) required or must be obtained within two years.
• Must be authorized to work in the US (sponsorship is not available).
• Knowledge of Medicare provider reimbursement methodologies.
• Proficiency in Microsoft Office suite.

Nice to have

• Experience with ancillary and DME (Durable Medical Equipment) billing.
• Understanding of HIPAA standardized claims transactions.

Culture & Benefits

• Opportunity to work in a collaborative, cross-functional corporate environment.
• Focus on professional development and policy research.
• Standard corporate benefits package provided for full-time employees.