Providing support to Clinical Policy, the full-time Licensed Clinical Coding Analyst will ensure the accuracy of coding for Clinical Coverage Guidelines (CCGs) and Claims Edit Guidelines (CEGs) while working remotely. Key responsibilities Directs the review and updates of coding in CCGs to support medical necessity reviews and leads revisions to CEGs Conducts research on evidence-based criteria and authorization rules to support clinical decision-making Oversees the hand-off of CCGs and CEGs to the Coding Integrity team for final review and implementation of necessary edits Required qualifications Associate's Degree in a related field or equivalent experience 4+ years of experience in the medical coding field with a facility, provider, or payer organization Knowledge of Medicare and Medicaid regulations Licensure as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist Provider-based (CCS-P), or Certified Professional Coder (CPC or CPC-H)