A company is looking for an Edit Configuration Analyst.
Key Responsibilities
Review and analyze complex billing for medical appropriateness and compliance
Assist in daily operations and design educational programs for staff
Monitor claims for accuracy and collaborate with teams to enhance coding practices
Required Qualifications
Current coding certification (AHIMA or AAPC) or medical license (RN, MD) required
5 years of experience in a clinically related field, including coding or auditing
Extensive knowledge of hospital billing, claims data, and coding standards
Experience with MS Office Suites and familiarity with international billing platforms
Knowledge of payer reimbursement policies and medical necessity criteria
Coding Analyst • Naples, Florida, United States