Demo

Medical Coding Analyst

Srimatrix Health
Detroit, MI Full Time
POSTED ON 2/6/2025
AVAILABLE BEFORE 4/6/2025

Overview:

Title: Medical Coding Analyst
Work Location: Detroit, MI, 48243
Duration: 7 Months
Job Type: Contract
Work Type: Hybrid (Once a week)
Dept: Medical Affairs

Job Description:

  • Responsible for reviewing and researching new code changes that are released by the Coding Authorities (AMA, CMS) for system implementation for PPO and HMO Commercial Business.
  • AMA (American Medical Association): The AMA is responsible for maintaining and updating the Current Procedural Terminology (CPT) codes, which are used for medical billing and coding in the U.S. healthcare system.
  • CMS (Centers for Medicare & Medicaid Services): CMS oversees the Healthcare Common Procedure Coding System (HCPCS) and International Classification of Diseases (ICD) codes, ensuring standardized coding for Medicare, Medicaid, and other healthcare programs.

Top 3 Required Skills/Experience –

  • Must be knowledgeable in use of CPT, HCPCS, ICD-10-CM and ICD-10-PCS code books
  • RHIT or RHIA Certification Required
  • Ability to analyse, investigate and organize ideas in defining and formulating solutions

Required Skills/Experience – The rest of the required skills/experience. Include:

  • Proficient in current industry standard PC applications and systems (e.g. Word, Excel and Microsoft Office)
  • Ability to work independently, within a team environment and handle multiple priorities
  • Great oral and written communication skills
  • Other related skills and/or abilities may be required to perform this job.
  • Must be knowledgeable in use of CPT, HCPCS, ICD-10-CM and ICD-10-PCS code books
  • RHIT or RHIA with specialty certification of CCS, CCS-P preferred
  • Works collaboratively with Physicians and other team members
  • Knowledge of PPO and HMO claim systems and benefits a plus.

Preferred Skills/Experience –

  • Experience working with the client /BCN benefits and/or claims preferred
  • Previous experience working with NASCO, MOS and/or BCU systems preferred

Education/Certifications – Include:

  • Bachelor's degree in related field
  • Certified Professional Coder

HM Notes:

  • Healthcare experience is mandatory.
  • While the candidate does not need full-fledged coding experience, they should have a background in coding and will be responsible for reviewing and researching new code changes released by the Coding Authorities (AMA, CMS) for system implementation in PPO and HMO Commercial Business.
  • The client is looking for an Analyst, not a strictly coding-focused candidate.

Skills Required:

  • Looking for an Analyst with strong medical coding experience.
  • Must be able to analyze coding updates, perform root cause analysis, and document solutions.
  • Strong background in CPT, ICD-10-CM, ICD-10-PCS, and HCPCS codes.
  • Candidate must have in-depth knowledge of coding and billing, though no billing work will be performed.
  • The primary responsibility is to implement new codes released by CMS and AMA and document these updates.
  • Strong analytical skills required, with expertise in Medical Codes, surgery codes, and lab code sets.
  • Must have both coding and analytical experience—not just one.
  • Hybrid role (onsite once a week).
  • Certified Professional Coder (CPC) certification is required.
  • Interview format: In-person preferred; virtual available if necessary.

Job Type: Contract

Pay: $30.00 per hour

Ability to Commute:

  • Detroit, MI 48243 (Required)

Ability to Relocate:

  • Detroit, MI 48243: Relocate before starting work (Required)

Work Location: In person

Salary : $30

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