medical coding analyst

athenahealth

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
<br><br>
We are looking for a Senior Medical Coding Analyst to join our Service Delivery team within our Technology Enabled Services division. Your job will be to help athenahealth comply with regulations and requirements and to seamlessly deliver Medical Coding service for our clients. But enough about us; let’s talk about you.
<br><br>
You are a passionate individual, coming with good experience in both ambulatory and in patient setting and active coding certification. You take on new challenges without hesitation and take complete ownership of your work. You are someone that learn from mistakes and immediately adjust the plan accordingly, you can adapt to changing your working style in a fast-paced work environment.
<br><br>
<b>The Team:</b> Our Procedural Quality team supports the Service Delivery arm of our Technology Enabled Services division.
<br><br>
<b>Job Responsibilities:</b><br>
Perform Medical coding related responsibilities and ensure seamless assignment codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes
<br><br>
Identify and quantify work trends as it may pertain to root cause analysis, etc
<br><br>
You take on responsibility for assigned special projects
<br><br>
<b>Typical Qualifications:</b><br>
Bachelor’s degree or equivalent
<br><br>
CPC or CCS or Equivalent
<br><br>
3-4 years’ experience in fast paced environment
<br><br>
Analytical skills and good communication skills
<br><br>
Healthcare RCM knowledge, preferred
<br><br>
About athenahealth
<br><br>
<b>Our vision:</b> In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients — powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
<br><br>
<b>Our company culture:</b> Our talented employees — or athenistas, as we call ourselves — spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.
<br><br>
<b>Our DEI commitment:</b> Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.
<br><br>
<b>What we can do for you:</b><br>
Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces — some offices even welcome dogs.
<br><br>
We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation.
<br><br>
In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.
<br><br>
<b>Learn more about our culture and benefits here:</b> athenahealth.com/careers
<br>https://www.athenahealth.com/careers/equal-opportunity

Senior Medical Coding Analyst

infinite Computer Solution

<p>HIM with Cerner 3M (Hospital Information Management) Build and Configuration3M 360 Encompass, CAC (Computer-Assisted Coding), encoder configuration, DRG assignment logic, ICD-10-CM/PCS and CPT coding standards, integration with Cerner/Oracle Health HIM modules</p><p>Compliance with AHIMA standards, DRG validation, CDI workflow optimization, governance and audit support, training and change management</p><p>Build/configuration of 3M encoder interfaces, defect remediation, batch monitoring, code table maintenance, report generation, and support</p><p>Job Type: Full-time</p><p>Pay: AED15,000.00 - AED20,000.00 per month</p>

Cerner 3M Medical Coding Analyst

NMC Health plc

<div><p>Ensures proper coding of claims in reference to the documentation present which is to be in compliance with the regulator&rsquo;s coding guidelines.</p></div><p></p>
<br><p></p><div><p>Reviews information as documented by Physician in medical record and Ensures coding is as per DHA guidelines and regulations.
</p><div><ul><li><p>Analyzes patient charts carefully to know the diagnosis and represent every item with specific codes.
</p></li></ul><ul><li><p>Consults Physicians for further clarification and understanding of patient charts to avoid any misinterpretations.
 </p></li></ul><ul><li><p>Ensures that codes (CPT) tally with Physician&rsquo;s&rsquo; diagnosis (ICD) &ndash; checks for documentation of medical necessity.
</p></li></ul><ul><li><p>Provides feedback to Doctors regarding coding errors or oversig hts.
</p></li></ul><ul><li><p>Circulate coding related information/Issues encountered in billing to identify trends and have them resolved.
 </p></li></ul><ul><li><p>Provide accurate answers to queries on coding from any concerned teams
</p></li></ul><ul><li><p>Evaluate and assist in resubmission of claims in reference to coding related denials.
</p></li></ul></div><p>Performs other Duties as assigned by HOD.</p></div>
<br><div><ul><li><p>A graduate with Bachelor&rsquo;s Degree in Allied Health Sciences or related areas with at least two (2) years of coding experience with valid Certified Coding Associate (CCA) certification from American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) certification from American Academy of Professional Coders (AAPC).
</p></li><li><p>Fluent spoken and written English. Spoken Arabic is advantageous but not essential.
</p></li><li><p>Sound Knowledge in MS Office.</p></li></ul></div><p></p>

Medical Coder

Cotiviti

<div>Overview:
<div>
The Content Analyst II is a key member of the clinical operations and content team responsible for the research, quality assurance, and opportunity analysis associated with new medical policies. In addition, this position will be responsible for review and analysis of current medical policies and assisting in the research necessary to define additional logic and algorithms to expand the Cotiviti payment policy library. Specific focus for this role will be on our Medicaid team.</div>
Responsibilities:
<ul><li>Provide coding and industry expertise to help create and maintain clinical coding edits.</li><li>
Responsible for writing business logic for new rules and enhancements by translating industry references into Cotiviti policy.</li><li>
Reviews and identifies changes to medical policies in order to maintain an accurate and current medical policy library.</li><li>
Work with the client teams to provide coding and clinical expertise for customer and provider inquiries, questions, challenges, or appeals to clinical rules.</li><li>
Assumes full ownership and accountability for assigned medical policies.</li><li>
Performs multi-faceted analytics for data and report analysis with minimal direction.</li><li>
Mentor and train new staff.</li><li>
Performs QA of policy reviews, logic revisions, and research requests performed by others to ensure accuracy.</li><li>
Maintains current knowledge-base of industry and Cotiviti content, best practices, applications, procedures, and policies.</li></ul>
Qualifications:
<ul><li>One of the following degrees is required:<ul><li>
Active professional license as a Registered Nurse (BSN preferred).</li><li>
Pharmacist (BSPharm or PharmD).</li><li>
Bachelor&rsquo;s degree (healthcare-related field preferred).</li><li>
Offshore Medical Degrees (MBBS or higher).</li></ul></li><li>
Professional certification (RHIA, RHIT, CPC, CPC-H, CPC-P, or CCS-P) preferred or willing to pass certification exam within one year of employment.</li><li>
Minimum of 5 years of experience in a clinical setting as a nurse, pharmacist, or physician OR minimum of 6 years of clinical coding experience, preferably in a payer setting.</li><li>
Minimum of 3 years of experience in internet-based research as it relates to codes (CPT, HCPCS, ICD, or NDC).</li><li>
Knowledge of Medicaid guidelines highly preferred.</li><li>
Familiarity with claims payment and reimbursement methodologies as well as medical policy rules and edits.</li><li>
Ability to analyze complex data and synthesize it for customer and internal consumption.</li><li>
Ability to work well both independently and collaboratively, in a fast-paced and demanding environment.</li><li>
Effective at managing timelines and multiple projects with high accuracy and attention to detail.</li><li>
Strong analytical, critical thinking, and problem-solving skills.</li><li>
Proficiency in Microsoft Office suite.</li><li>
Excellent interpersonal, verbal, and written communication skills.</li></ul><div><b>
Mental Requirements:</b></div><ul><li>
Communicating with others to exchange information.</li><li>
Assessing the accuracy, neatness, and thoroughness of the work assigned.</li></ul><div><b>
Physical Requirements and Working Conditions:</b></div><ul><li>
Remaining in a stationary position, often standing or sitting for prolonged periods.</li><li>
Repeating motions that may include the wrists, hands, and/or fingers.</li><li>
Must be able to provide a dedicated, secure work area.</li><li>
Must be able to provide high-speed internet access/connectivity and office setup and maintenance.</li><li>
No adverse environmental conditions are expected.</li><li>
After hours and/or weekend work required where necessary for major deliverables/deadlines (not consistent).</li></ul><div>
Base compensation ranges from $72,000 to $100,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.</div><div></div><div><br>
Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.</div><div></div><div><br>
Date of posting: 11/6/2025</div><div>
Applications are assessed on a rolling basis. We anticipate that the application window will close on 12/31/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.</div><div>
#LI-JB1</div><div>
#LI-Remote</div><div>
#senior</div></div><div></div>

Content Analyst II (Medicaid)

Gargash Hospital

<p><b>Medical Coder</b><br> <br>Job Location : Dubai, UAE<br> <br><b>Key Responsibilities :</b><br> <br>  Accurately code medical diagnoses, treatments, and procedures using ICD-10, CPT, and HCPCS coding systems.<br>  Review patient medical records and ensure proper assignment of codes for billing and reimbursement purposes.<br>  Collaborate with medical staff to ensure accurate documentation and code assignment.<br>  Handle coding for various departments including outpatient, inpatient, emergency, and specialty care.<br>  Submit and follow up on insurance claims, ensuring proper reimbursement for services rendered.<br>  Ensure compliance with insurance and hospital policies, as well as all applicable regulations and standards.<br>  Participate in audits and assist with any coding-related inquiries.<br>  Stay updated on coding and billing regulations, policies, and changes in healthcare law.<br> <br><b>Qualifications </b>:<br> <br>  Must have a certification in medical coding (e.g., CPC, CCA, CCS).<br>  Minimum 3-4 years of experience in medical coding within a hospital or clinical setting in Dubai.<br>  Extensive knowledge of ICD-10, CPT, HCPCS coding systems and DRG-based billing.<br>  Experience with healthcare insurance claims, billing processes, and reimbursement regulations.<br>  Attention to detail with a strong focus on accuracy and compliance.<br>  Ability to work both independently and in a team-oriented environment.<br>  Strong communication skills and the ability to collaborate effectively with healthcare professionals.<br>  Experience with medical coding software and hospital information systems.</p>

The Pearl International Hospital

<p><b>Medical Coder</b></p><p>The Medical Coder will be responsible for ensuring precise and compliant coding of all clinical procedures and diagnoses across outpatient and inpatient services. The role requires deep expertise in <b>CPT coding</b> and solid understanding of <b>ICD-10-AM</b> for accurate claim processing and reimbursement. The ideal candidate will ensure that all submitted claims reflect the true scope of medical services provided and comply with Qatar&rsquo;s payer and MoPH requirements.</p><p><b>Key Responsibilities</b></p><ul><li>Review clinical documentation for consultations, procedures, and surgeries to assign <b>accurate CPT codes</b> and corresponding ICD-10-AM codes.</li><li>Validate that all CPT codes accurately reflect the services rendered, including modifiers and multiple procedure rules.</li><li>Collaborate with physicians to ensure documentation supports the CPT codes used for billing.</li><li>Review, audit, and correct codes prior to claim submission to avoid denials or underpayment.</li><li>Reconcile discrepancies between clinical, billing, and coding data to maintain accuracy.</li><li>Stay up to date on <b>CPT updates, NCCI edits, and payer-specific coding policies</b>.</li><li>Support the billing and insurance teams in claim review and appeals by providing coding justifications.</li><li>Prepare monthly coding quality reports and identify trends in documentation or claim rejections.</li></ul><p><b>Minimum Requirements</b></p><ul><li>Bachelor&rsquo;s degree or diploma in Health Information Management, Medical Records, or related field.</li><li>Valid medical coding certification (CPC, CCS, or equivalent).</li><li>Minimum 3 years of coding experience</li><li>Advanced proficiency in <b>CPT coding for medical, surgical, and diagnostic procedures</b>.</li><li>Working knowledge of <b>ICD-10-AM</b> and insurance claim requirements in Qatar.</li><li>Familiarity with payer systems such as AlKoot, QLM, GlobeMed, etc.</li><li>Strong communication and documentation review skills.</li><li>Ability to meet deadlines with a high level of accuracy and attention to detail.</li><li>Ability to provide physician feedback on documentation improvement.</li><li>Working knowledge of claim resubmission and coding audits.</li></ul><p>Job Type: Full-time</p>

CES, LLC

<div><b>Job Description</b> <b>Summary:</b><br>
The Claims Analyst ensures the review and analysis of sampled Medicaid claims using associated medical records; makes payment determinations based on coverage, coding, utilization of services and practice guidelines; and makes medical necessity determinations utilizing clinical review judgment in accordance with the PERM Program policies and contract responsibilities. The period of performance for this role is from 12/1/2025-3/15/2026.<br>
<br>
<b>Duties/Responsibilities:</b><br>
<ul><li>Conducts in-depth claims analysis utilizing ICD-9-CM, ICD-10-CM, CPT-4, APR-DRG, and HCPCS Level II coding principles</li>
<li>Conducts medical record audits to determine the medical necessity and/or appropriateness of medical treatment as defined by the Statement of Work and CMS directives as well as State specific regulations pertaining to Medical necessity</li>
<li>Reviews the Master Policy List and the MR questionnaire and develops State Fact Sheets and Resource Page for each assigned State prior to the review of claims for that State</li>
<li>Functions as the policy and regulation expert in assigned states</li>
<li>Provides electronic documentation of findings and conclusions with determinations of claims payment appropriateness in review tool fields</li>
<li>Reviews and completes the required number of claims reviews in accordance to established production standards for the project</li>
<li>Communicates internally with all levels of PERM staff</li>
<li>Attend assigned State meetings</li>
<li>Participates in QA and IRR monitoring as requested</li>
<li>Complies with departmental policies and procedures</li>
<li>Comply with QA benchmarks established by the PERM MR department</li>
<li>Attends departmental and required education and training programs</li>
<li>Performs other projects or duties as assigned by the Senior Medical Review Specialist</li>
</ul>
<br>
<b>Required qualifications/skills:</b><br>
<ul><li>Graduate from an accredited Registered Nurse (RN) school (associate degree or diploma based) or Bachelor's Degree (preferred) with active state licensure in one or more of the 50 states or D.C.</li>
<li>Ability to comprehend medical policy and criteria to clearly articulate health information</li>
<li>Team-oriented and able to implement the operational strategies and procedures that will help achieve the overall quality and production goals of the Medical Review unit</li>
<li>Knowledge of ICD-10-CM and CPT-4 coding</li>
<li>Minimum three years of experience in a clinical setting with experience evaluating medical necessity of services, diagnosis and procedure coding and appropriateness of clinical settings.</li>
<li>Inpatient Interqual/Milliman screening or similar product experience preferred</li></ul></div>

Medical Claims Analyst (RN)

Search 10000+ Medical coding analyst jobs near you this November. New roles added regularly across leading industries. Apply today.

10000 medical coding analyst jobs NEAR_ME

Senior Medical Coding Analyst

Cerner 3M Medical Coding Analyst

Medical Coder

Content Analyst II (Medicaid)

Medical Coder

Medical Coder

Medical Claims Analyst (RN)