Healthcare Coding Expert, Certified Professional Coder

General Dynamics Information Technology

. Perform analytical tasks supporting the HFPP program .

Posted 10/7/2026full-timeRemote • United StatesSeniorLead💰 $77,775 - $105,225 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare claims analysis, including proficiency in medical coding and compliance with insurance regulations. Capable of driving program integrity initiatives and collaborating effectively with partners to enhance outcomes.

Highest-signal resume keywords

Healthcare Claims AnalysisCertified Professional Coder (CPC)ICD-10, CPT, HCPCS CodingInsurance Regulations KnowledgeMicrosoft Office Suite Expertise

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare CodingFraud, Waste, and Abuse AnalysisClaims Review and ComplianceAnalytic Report DevelopmentData AnalysisQuality Assurance InitiativesProvider Background ProfilingOutcome Metrics AnalysisInsurance Policy ResearchProgram Integrity Activities

Soft Skills

Strong Communication SkillsTeam CollaborationIndependent Work AbilityTask PrioritizationCoaching and Guidance

Tools & Technologies

TableauAmazon WorkSpacesJiraConfluence

Certifications & Qualifications

Certified Professional Coder (CPC)Certified Coding Specialist (CCS)CFE or AHFI Designation

Industry Keywords

Healthcare ComplianceReimbursement MethodologiesHIPAA Privacy and SecurityMedical TerminologyInsurance Policies

Tech Stack

Tools & technologies

Tableau

About the role

Key responsibilities & impact

Perform analytical tasks supporting the HFPP program
Identify fraud, waste, and abuse referrals and leads from HFPP Analytics
Collaborate on development of HFPP analytic reports
Drive outcome metrics related to referrals and leads shared with Partners
Analyze health claims data
Generate study referrals and leads
Develop provider background profiles
Identify opportunities for Partner collaboration meetings
Review and analyze medical claims for accuracy, completeness, and compliance with insurance policies, coding guidelines, and reimbursement criteria
Identify fraud, waste, and abuse schemes
Research and investigate insurance policies, coding guidelines, and reimbursement criteria
Participate in quality assurance initiatives to ensure deliverables meet regulatory requirements, medical and company policies, and industry standards
Evaluate and respond to analytic output questions from internal and external parties
Coach and provide guidance to less experienced professionals

Requirements

What you’ll need

Bachelor's degree or equivalent year of work experience
8+ years of experience in healthcare claims analysis
Certified Professional Coder (CPC) through AAPC or Certified Coding Specialist (CCS) through AHIMA
Expertise in medical terminology and healthcare coding, including ICD-10, CPT, and HCPCS
Experience in program integrity and healthcare fraud, waste, and abuse activities, including edits, audits, pre-payment and post-payment review, investigations, and referrals
Extensive knowledge of insurance regulations, reimbursement methodologies, and healthcare compliance requirements
Strong oral and written communication skills with ability to present to management-level staff
Expert-level knowledge of Microsoft Office suite
Experience with Tableau, Amazon WorkSpaces, Jira, and Confluence
Working knowledge of HIPAA privacy and security rules
Ability to work independently and with minimal guidance
Ability to prioritize multiple tasks and work under pressure
Ability to work effectively in team and independent environments
CFE or AHFI designation strongly desired

Benefits

Comp & perks

Medical plan options, including some with Health Savings Accounts
Dental plan options
Vision plan
401(k) plan with pre-tax and post-tax contributions and company match
Flexible work weeks where possible
Vacation, sick, personal, holiday, parental, military, bereavement, and jury duty leave
Typically 15 days of paid leave per calendar year
10 paid holidays per year
Up to 160 hours of paid family leave in a rolling 12-month period for eligible employees
Short- and long-term disability benefits
Life insurance
Accidental death and dismemberment insurance
Personal accident insurance
Critical illness insurance
Business travel and accident insurance
Remote work