Coding Analyst III

🔥 12 hours ago

🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

💵 $105k - $125k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🧐 Analyst

🦅 H1B Visa Sponsor

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CodaMetrix

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2019

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 $40M Series B - CodaMetrix on 2024-03

Healthcare • Consulting • Logistics

CodaMetrix is an AI-powered healthcare technology company that provides a contextual coding automation platform for health systems. Its platform automatically applies clinical and billing codes across service lines, reduces manual coding work, improves coding quality and compliance, lowers costs and denials, and integrates into existing workflows to deliver measurable ROI for enterprise providers.

📋 Description

• Analyze and document customers’ coding practices and workflows • Identify and share best practices for coding automation and workflow improvements • Apply radiology coding expertise to identify complexities, risks, and opportunities in customer workflows • Assist with Coding Quality Assessment projects, including work assignments, training, and quality assurance • Review complex coding scenarios and provide guidance on appropriate coding practices • Present audit results and coding recommendations to customer stakeholders and facilitate go-live sign-off • Serve as a senior internal and external subject matter expert in radiology coding and billing • Provide guidance on CPT coding, documentation requirements, modifiers, and coding guidelines • Advise Machine Learning, Product, and other cross-functional teams on coding and billing • Identify coding patterns, edge cases, and complexities affecting automation accuracy and product performance • Develop and deliver coding and billing evaluation and training materials • Mentor coding team members on complex radiology coding topics • Share knowledge and champion continuous improvement initiatives • Stay current on medical coding and billing changes, especially those affecting radiology • Uphold legal, ethical, confidentiality, accuracy, and compliance requirements • Participate in customer implementations and provide senior-level coding expertise • Collaborate with Machine Learning, Product, Customer Success, and Implementations teams to address customer needs

🎯 Requirements

• Current AHIMA or AAPC coding credential held for 7+ years • 7–10 years of medical coding and auditing experience, with progressive growth in responsibilities • Significant hands-on radiology coding experience required • CPC, CCS, and/or CIRCC certification required; CIRCC strongly preferred • Demonstrated expertise in CPT coding, particularly within radiology • Strong understanding of coding guidelines, modifiers, documentation requirements, and billing practices • Experience coding across multiple radiology modalities and/or subspecialties strongly preferred • Ability to serve as a coding SME and guide complex or ambiguous coding scenarios • Excellent communication and customer service skills • Strong organizational skills and attention to detail • Critical thinking, intellectual curiosity, and creativity in problem-solving • Ability to thrive under time constraints in a fast-paced environment • Team-oriented approach with a positive and patient demeanor • Maintain relevant certifications and participate in ongoing education • Must complete a background check upon acceptance of a job offer • Must be authorized to work in the United States; application asks whether sponsorship will be required

🏖️ Benefits

• Health insurance: employer covers 80% of medical and dental insurance costs; vision insurance offered • 401(k) plan available one month after the first day • Generous managed-but-not-limited Paid Time Off policy • Annual performance evaluations and individual growth support • Annual company awards with peer nominations • Modern open-plan Boston office workspace • Employer-paid life insurance • Employer-paid short-term and long-term disability insurance