Coding Analyst II

Medica

. Review and code clinical documentation using ICD, CPT, HCPCS, and internal coding guidelines .

Posted 9/16/2026full-timeRemote • Arizona • United StatesMid-LevelSenior💰 $45,900 - $68,775 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical coding using ICD, CPT, and HCPCS, ensuring compliance with billing and reimbursement standards. Proficient in auditing, analyzing coding patterns, and guiding junior analysts in coding practices and documentation requirements.

Highest-signal resume keywords

Clinical Documentation ReviewCoding Certification (CCA, CPC-P, CPC, CPC-H, CCS, CCS-P, RHIT, RHIA)ICD, CPT, HCPCS CodingClaims Auditing and AnalysisRegulatory Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD CodingCPT CodingHCPCS CodingClaims ProcessingCoding Guidelines ResearchData AnalysisCoding Accuracy ValidationDocumentation ComplianceRevenue Codes KnowledgeDRGs Understanding

Soft Skills

Analytical SkillsProblem-Solving SkillsCommunication SkillsCollaboration SkillsTraining and Mentoring

Certifications & Qualifications

CCACPC-PCPCCPC-HCCSCCS-PRHITRHIA

Industry Keywords

Healthcare AdministrationHealth Information ManagementPayer GuidelinesUB-04 Claim RequirementsFacility Reimbursement MethodologiesCoding RegulationsAudit ComplianceClaims AdjudicationProvider ReimbursementProcess Improvement

About the role

Key responsibilities & impact

Review and code clinical documentation using ICD, CPT, HCPCS, and internal coding guidelines
Validate coding accuracy for compliant billing, reimbursement, and data reporting
Research missing or unclear information for proper code assignment
Complete timely coding reviews supporting accurate claims processing
Audit claims, encounters, and documentation to detect coding errors or inconsistencies
Analyze coding patterns to identify trends, risks, and gaps affecting payment accuracy
Document audit findings and recommend corrective actions
Communicate audit results to internal partners
Investigate coding impacts on claims adjudication, reimbursement, and provider disputes
Collaborate with configuration, operations, and provider teams to resolve coding issues
Verify coding rules within system logic and flag discrepancies
Support issue triage workflows
Apply coding regulations, payer guidelines, and organizational policies
Maintain regulatory, audit, and documentation compliance
Participate in coding quality and process improvement initiatives
Monitor coding rule updates and support implementation of required changes
Guide junior analysts on coding practices, documentation requirements, and audit methods
Assist with training, documentation updates, and knowledge-sharing
Perform other duties as assigned

Requirements

What you’ll need

Bachelor's degree in Health Information Management, Healthcare Administration, Business, or a related field, or equivalent combination of education and experience
3+ years of work experience beyond degree in coding for a health plan, insurance payer, facility and/or hospital
Coding certification required: CCA, CPC-P, CPC, CPC-H, CCS, CCS-P, RHIT, or RHIA
Knowledge of revenue codes, NUBC guidelines, UB-04 claim requirements, DRGs, and facility reimbursement methodologies
Experience analyzing medical coding and claim data
Understanding of coding impacts on claim adjudication, provider reimbursement, and payment accuracy
Experience researching and interpreting coding guidelines, industry standards, and healthcare billing requirements
Analytical and problem-solving skills to investigate coding issues and identify root causes
Ability to track trends and identify process improvement opportunities
Strong written and verbal communication skills
Primary home address must be in a state where Medica is registered as an employer: AR, AZ, FL, GA, IA, IL, KS, KY, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, or WI
Must be legally authorized to work in the United States at the time of application
Medica does not offer work visa sponsorship

Benefits

Comp & perks

Competitive medical insurance
Dental insurance
Vision insurance
PTO
Holidays
Paid volunteer time off
401K contributions
Caregiver services
Other total rewards benefits