Medical Coding Analyst

We are currently seeking a Medical Coding Analyst to support a growing client base while combining their clinical and/or coding expertise with payment policy. The medical coding analyst is a key member of the Internal Solutions team and Product Team, as well a key contributor, and works closely with the internal solutions team and assist Senior medical coding analyst in research to bring new solution features/medical rules for the rule engine based on medical coding guidelines.

We are a fun loving and rapidly growing team and expect the candidate to add to the capabilities, diversity and thought process of the team.

The role provides a rare and unique opportunity to qualified and deserving candidates to make a shift from the BPO industry to a high impact DeepTech startup. No night shifts.

• Ability to collaborate with technical teams and coding/billing functional teams for new medical rule requirement or change to existing medical rule requirement.
• Support Senior Medical Coding Analyst in research on policy guidelines, coding practices and policies from AMA, CMS and other sources as applicable from time to time to develop new Product.
• Support Internal Solutions team in managing the Rule engine library and updates.
• Ensures changes to rule sets are accurate, complete and are finished in a timely manner including documentation of notable changes.
• Support and align efforts to meet customer and business needs.

• Certified medical coder (CPC, CCS or equivalent) preferably with a clinical background with minimum 1 year of experience in Coding including multispecialty coding.
• Preferably Graduate with Medical degree (BDS, BAMS, BHMS, BPT; Diploma in Specialties).
• Minimum 1 year of hands-on experience in ICD/CPT/HCPCS coding including E&M, Surgery multispecialty utilizing various guidelines from AMA, CMS and AHA.
• Experience or knowledge of billing process/denial management and overall payment process of US Healthcare.
• Experience in analysing large medical data sets in Excel using Pivot tables and excel formulas/functions.
• Ability to work in a highly collaborative team setting and have fun along the way.
• Must Have Qualifications: CPC Certification is a must have qualification for this role.