Healthcare Coding Expert (certified professional coder)

📋 Description

• Analyze medical claims data for fraud, waste, and abuse indicators.
• Review claims for accuracy, coding compliance, and reimbursement.
• Apply ICD-10, CPT, HCPCS and coding guidelines to claims.
• Research policies and regulatory requirements for investigations.
• Generate analytical reports and share findings with stakeholders.

🎯 Requirements

• Bachelor’s degree or equivalent experience.
• 8+ years in healthcare claims analysis or related analytics.
• Active CPC or CCS certification (AAPC/AHIMA).
• Expert in ICD-10, CPT, HCPCS and medical terminology.
• Experience in program integrity, audits, and referrals.
• Knowledge of insurance regs and reimbursement methods.

🎁 Benefits

• Competitive salary range: $77,775–$105,225 (varies by location/experience).
• Medical, dental, vision insurance.
• 401(k) with company match.
• Paid time off and holidays; family leave options.
• Disability and life insurance options.
• Flexible work arrangements; ~40 hrs/week.