Senior Claims Coding Analyst

Serving as a coding subject matter expert and triage coordinator, the full-time Senior Claims Coding Analyst will optimize provider dispute resolutions, analyze claims data, and improve administrative costs while working remotely. Key responsibilities Coordinate resolution pathways for provider disputes based on coding complexity and financial impact Analyze dispute populations to identify trends and develop standardized resolution strategies Provide guidance to Claims Coding Analysts and lead continuous improvement efforts to enhance provider and consumer experiences Required qualifications Coding class completion and/or certification from AAPC or AHIMA, including CPC or equivalent Previous professional coding and/or claims payment experience on both payer and provider sides Experience in researching and applying coding guidelines to complex claims or provider disputes Ability to independently analyze claims and disputes for defensible coding and payment decisions High school diploma or GED from an accredited institution