Coding Analyst III

This is a fully remote position, open to applicants in Massachusetts.

📋 Description

• Analyze and document customers’ coding practices and workflows

• Identify and disseminate best practices for automation in coding and enhancements in workflows

• Utilize radiology coding expertise to pinpoint complexities, risks, and opportunities within customer workflows

• Assist in Coding Quality Assessment projects, including task assignments, training, and quality assurance

• Examine complex coding scenarios and offer guidance on proper coding practices

• Present audit findings and coding recommendations to customer stakeholders, facilitating go-live sign-off

• Act as a senior internal and external subject matter expert in radiology coding and billing

• Provide insights on CPT coding, documentation requirements, modifiers, and coding guidelines

• Advise Machine Learning, Product, and other cross-functional teams on coding and billing matters

• Identify coding patterns, edge cases, and complexities that impact automation accuracy and product performance

• Create and deliver training materials for coding and billing evaluations

• Mentor coding team members on advanced radiology coding topics

• Share knowledge and promote continuous improvement initiatives

• Stay updated on changes in medical coding and billing, particularly those affecting radiology

• Adhere to legal, ethical, confidentiality, accuracy, and compliance standards

• Participate in customer implementations, providing senior-level coding expertise

• Collaborate with Machine Learning, Product, Customer Success, and Implementations teams to meet customer needs

⛳️ Requirements

• Current AHIMA or AAPC coding credential held for over 7 years

• 7–10 years of experience in medical coding and auditing, with progressive growth in responsibilities

• Extensive hands-on experience in radiology coding is required

• CPC, CCS, and/or CIRCC certification required; CIRCC is strongly preferred

• Proven expertise in CPT coding, especially in the field of radiology

• Strong understanding of coding guidelines, modifiers, documentation requirements, and billing practices

• Experience coding across various radiology modalities and/or subspecialties is strongly preferred

• Ability to act as a coding subject matter expert and navigate complex or ambiguous coding scenarios

• Excellent communication and customer service capabilities

• Strong organizational skills with a keen attention to detail

• Critical thinking, intellectual curiosity, and creativity in problem-solving

• Ability to perform well under time constraints in a fast-paced environment

• Team-oriented mindset with a positive and patient demeanor

• Maintain relevant certifications and engage in ongoing education

• Must undergo a background check upon acceptance of a job offer

• Must be authorized to work in the United States; application will inquire if sponsorship is required

🏝️ Benefits

• Health insurance: employer covers 80% of medical and dental insurance costs; vision insurance is also offered

• 401(k) plan available one month after the first day of employment

• Generous managed-but-not-limited Paid Time Off policy

• Annual performance evaluations along with support for individual growth

• Annual company awards with nominations from peers

• Modern open-plan office environment located in Boston

• Employer-paid life insurance

• Employer-paid short-term and long-term disability insurance