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Niche healthcare coding role with metro location and mid-level experience amplifiers.
Highly specific to healthcare coding, payer regulations, and claims-editing content.
Mandatory AAPC/AHIMA certification and explicit 2–4 years' experience required.
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Develop and maintain clinical and claims editing content using various medical coding standards and regulatory sources.
Collaborate with Editing, Expert Claim Review Operations, and Product teams to ensure content scalability, functionality, and compliance.
Analyze data and regulatory changes to recommend content enhancements and support client-facing inquiries.
Graduate degree or equivalent.
Mandatory coding certification from AAPC or AHIMA.
2 to 4 years of experience in a related healthcare field.
Knowledge of National Medicare and Medicaid regulations and payer reimbursement policies.
Experienced in clinical coding and claims editing with strong knowledge of healthcare regulations.
Analytical with capability to perform data-driven content impact assessments and regulatory research.
Able to manage multiple projects with good communication and collaboration skills across teams.