What are the responsibilities and job description for the Medical Coding Analyst position at Srimatrix Health?
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