Back
Metro location, mid-level experience, moderate brand offset by niche medical-coding certification.
Strong domain-specific medical coding and payer policy knowledge limits transferability across industries.
Mandatory AAPC/AHIMA certification and explicit 2–4 years requirement increase filtering.
Login to See Your Match Score
Create a free account or log in to unlock your CV match score across:
Develop and maintain clinical content and edits for physician and facility claim reviews using coding and regulatory sources.
Perform research and analysis on regulatory changes, coding practices, and compliance to support product functionality and scalability.
Communicate findings and partner with Product Management and client teams to assess impact, address client inquiries, and support product alerts and enhancements.
Mandatory coding certification from AAPC or AHIMA.
2 to 4 years of experience in a related healthcare or claims editing field.
Graduate degree or equivalent educational qualification.
Work Experience Required: 2 to 4 years in relevant healthcare/coding domain.
Strong knowledge of healthcare industry, including National Medicare and Medicaid regulations and payer reimbursement policies.
Experience handling clinical coding and content development for claims editing in a regulated environment.
Analytical and project management skills suited for managing multiple initiatives related to content development and regulatory compliance.