Coding Claims Analyst

Position Summary:

The Coding Claims Analyst is responsible for ensuring accurate medical coding. This role works collaboratively to review documentation, assign appropriate codes, resolve claim edits and denials, and support regulatory compliance. The ideal candidate brings strong analytical skills, attention to detail, and a thorough understanding of payer guidelines within a fast-paced, physician-driven environment.

Essential Duties:

· Review and resolve insurance claim rejections and coding denials to ensure accurate and timely reimbursement.

· Make contact on a minimum number of accounts/claims per day

· Communicate any coding or claim issues to supervisor

· Maintain quality documentation/audit trail of actions taken on patient accounts by keeping clear, concise notes in the patient accounting system

· Meet department quality review expectations

· Meet department accounts receivable aging standards

· Maintain 100% patient confidentiality at all times

· Maintain up-to-date knowledge of coding guidelines, payer policies, and regulatory changes

· Correct coding errors related to CPT, ICD-10, and HCPCS and resubmit claims in compliance with payer guidelines

· Prepare and submit formal appeals with supporting clinical documentation when appropriate

· Monitor denial trends and recommend process improvements to reduce recurring issues

Education:

· High School diploma required

· Associate’s or Bachelor’s degree preferred

Experience:

· Minimum 1-2 years of medical billing experience

· Coding certification and multi-specialty practice experience preferred

· Familiarity of patient accounting system required

· NextGen Practice Management software exposure preferred

Job Type: Full-time

Pay: $20.21 - $28.34 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Experience:

• ICD-10: 1 year (Preferred)
• CPT Coding: 1 year (Preferred)
• Medical Billing: 1 year (Preferred)

License/Certification:

• Medical Coding Certification (Required)

Work Location: In person

Salary : $20 - $28