Coding Analyst II

Serve as a Knowledge Resource & Contribute to Team Objectives

Required Qualifications

• Bachelor's degree in Health Information Management, Healthcare Administration, Business, or a related field, or equivalent combination of education and experience
• 3+ years of work experience beyond degree in coding for health plan, insurance payer, facility and/or hospital

Required Certifications/Licensure

Preferred Qualifications

• Demonstrated knowledge of revenue codes, National Uniform Billing Committee (NUBC) guidelines, UB-04 claim requirements, DRGs, and facility reimbursement methodologies
• Experience analyzing medical coding and claim data to determine appropriate coding, payment, and reimbursement outcomes
• Strong understanding of how coding impacts claim adjudication, provider reimbursement, and payment accuracy
• Experience researching and interpreting coding guidelines, industry standards, and healthcare billing requirements
• Proven analytical and problem-solving skills with the ability to investigate coding issues and identify root causes
• Ability to track trends, identify process improvement opportunities, and recommend upstream solutions to reduce rework and adjustments
• Strong written and verbal communication skills with the ability to explain coding decisions and rationale to internal stakeholders
• This position is a Remote role. To be eligible for consideration, candidates must have a primary home address located within any state where Medica is registered as an employer - AR, AZ, FL, GA, IA, IL, KS, KY, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI
• The full salary grade for this position is $45,900 - $78,600. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $45,900 - $68,775. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
• The compensation and benefits information is provided as of the date of this posting. Medica’s compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
• Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
• We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.