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Salary: USD 105,000 - 125,000 / annual
CodaMetrix is an AI-powered Revenue Cycle Management platform that automates medical coding, translating clinical information into accurate medical codes across multiple specialties. The company helps physicians and healthcare providers focus on patient care rather than administrative coding work.
The Coding Analyst III reports to the Senior Manager of Medical Coding & Audit and serves as a key member of the quality assurance team, ensuring CodaMetrix meets and exceeds customer coding quality expectations. This is a senior individual contributor role with deep subject matter expertise in radiology coding.
Key responsibilities include:
• Customer & Workflow Analysis: Analyze and document customer coding practices and workflows to optimize CodaMetrix product utilization. Identify best practices for coding automation and workflow improvements. Apply radiology coding expertise to identify complexities, risks, and opportunities.
• Coding Quality Management: Support Coding Quality Assessment (CQA) projects including work assignments, training, and quality assurance. Leverage CodaMetrix standards and radiology expertise to drive coding quality and consistency. Review complex coding scenarios, provide guidance on appropriate practices, and present audit results to customer stakeholders.
• Radiology Coding Subject Matter Expertise: Serve as a senior internal and external SME in radiology coding and billing. Provide authoritative guidance on complex scenarios including CPT coding, documentation requirements, modifiers, and coding guidelines. Support Machine Learning, Product, and cross-functional teams with expert coding guidance. Identify coding patterns, edge cases, and complexities impacting automation accuracy.
• Collaboration & Knowledge Sharing: Develop and deliver training materials on coding and billing. Mentor other coding team members on complex radiology topics. Share knowledge to strengthen internal competencies and champion continuous improvement.
• Compliance & Professional Development: Stay current on medical coding and billing changes, particularly in radiology. Maintain relevant certifications and participate in ongoing education. Uphold legal and ethical requirements in all coding and audit activities.
• Customer Implementation Support: Participate in customer implementations, providing senior-level coding expertise. Collaborate with Machine Learning, Product, Customer Success, and Implementation teams. Serve as a trusted coding resource for complex radiology workflows.
QUALIFICATIONS & REQUIREMENTS:
• Current AHIMA or AAPC coding credential held for 7+ years
• 7–10 years of medical coding and auditing experience with progressive responsibility growth
• Significant hands-on radiology coding experience required; must demonstrate deep expertise and ability to independently navigate complex radiology coding scenarios
• CPC, CCS, and/or CIRCC certification required; CIRCC strongly preferred for radiology focus
• Demonstrated expertise in CPT coding, particularly radiology, including strong understanding of coding guidelines, modifiers, documentation requirements, and billing practices
• Experience coding across multiple radiology modalities and/or subspecialties strongly preferred
• Demonstrated ability to serve as a coding SME and provide guidance on complex or ambiguous scenarios
• Excellent communication and customer service skills; ability to engage executives, directors, data scientists, customers, and stakeholders with varying coding knowledge levels
• Strong organizational skills and attention to detail with demonstrated commitment to excellence and precision
• Critical thinking, intellectual curiosity, and creativity in problem-solving
• Ability to thrive under time constraints in fast-paced environment
• Team-oriented approach with positive and patient demeanor fostering collaboration and continuous improvement
