Coding Analyst III

OpenKrill; United States; Hybrid; USD 105,000 - 125,000; Full time

Benefits offered by this job

Health Insurance

401(k) plan

Paid Time Off

Performance evaluations

Professional development

Job summary

CodaMetrix, a leader in AI-powered healthcare coding, seeks a senior Coding Analyst III with deep radiology expertise to review, refine, and guide coding practices across customer implementations. You will collaborate with ML, Product, and Customer Success teams to ensure top-tier coding quality and actionable solutions.

The role requires mastery of radiology coding, CPT guidelines, and a proactive mindset for continuous improvement; you will mentor colleagues and stay current on industry

Qualifications

• 7+ years of medical coding and auditing experience.
• Significant hands-on radiology coding experience.
• CPT coding expertise in radiology with modifiers and guidelines.

Responsibilities

• Analyze and document customers’ coding practices and workflows to facilitate optimal use of the CodaMetrix product.
• Support Coding Quality Assessment projects and ensure quality and consistency.
• Provide radiology coding SME guidance to cross-functional teams.
• Develop and deliver training materials on coding and billing.
• Stay current on changes in radiology coding and maintain certifications.
• Support customer implementations with senior-level coding expertise.

Skills

Radiology coding

CPT coding

Communication

Auditing

Education

AHIMA or AAPC credential

CPC certification

CCS certification

CIRCC certification

Tools

Auditing tools

Job description

CodaMetrix is revolutionizing Revenue Cycle Management with its AI-powered autonomous coding solution, a multi-specialty AI-platform that translates clinical information into accurate sets of medical codes. CodaMetrix's autonomous coding drives efficiency under fee-for-service and value-based care models and supports improved patient care. We are passionate about getting physicians and healthcare providers away from the keyboard and back to clinical care.

OVERVIEW

Reporting to the Senior Manager, Medical Coding & Audit, the Coding Analyst III will be a key member of the team responsible for ensuring that CodaMetrix meets—and exceeds—our customers’ coding quality expectations.

This role requires a highly experienced medical coding professional with deep expertise in radiology coding. The Coding Analyst III will leverage extensive experience in coding, billing, and auditing to review, analyze, and enhance coding processes, both internally and externally. This individual will serve as a senior subject matter expert in radiology coding and will play a pivotal role in improving the quality and efficiency of coding operations.

The Coding Analyst III will collaborate closely with cross-functional teams, including Machine Learning, Product, and Customer Implementations, providing expert coding guidance and helping translate complex radiology coding concepts into actionable solutions.

This role requires demonstrated mastery of radiology coding, the ability to navigate and communicate highly complex coding scenarios, and an unwavering commitment to quality, continuous learning, and innovation in medical coding practices.

KEY RESPONSIBILITIES

1. Customer & Workflow Analysis

• Analyze and document customers’ coding practices and workflows to facilitate optimal use of the CodaMetrix product.
• Identify and share best practices for coding automation and workflow improvements.
• Apply deep radiology coding expertise to identify coding complexities, risks, and opportunities within customer workflows.

2. Coding Quality Management

• Assist the Senior Manager with Coding Quality Assessment (CQA) projects, including work assignments, training, and quality assurance for coding staff.
• Leverage CodaMetrix coding standards and extensive radiology coding expertise to drive world-class coding quality and consistency.
• Review and analyze complex coding scenarios and provide guidance on appropriate coding practices.
• Present audit results and coding recommendations to customer stakeholders and facilitate sign-off for go-live milestones.

3. Radiology Coding Subject Matter Expertise

• Serve as a senior internal and external Subject Matter Expert (SME) in radiology coding and billing.
• Provide authoritative guidance on complex radiology coding scenarios, including CPT coding, documentation requirements, modifiers, and applicable coding guidelines.
• Provide expert coding and billing guidance to Machine Learning, Product, and other cross-functional teams.
• Help identify coding patterns, edge cases, and complexities that may impact automation accuracy and product performance.

4. Collaboration & Knowledge Sharing

• Develop and deliver evaluation and training materials on coding and billing to colleagues and customers.
• Serve as a resource and mentor to other coding team members, particularly on complex radiology coding topics.
• Share knowledge throughout CodaMetrix to strengthen internal coding competencies and champion continuous improvement initiatives.

5. Compliance & Professional Development

• Proactively stay current on changes in medical coding and billing, particularly those affecting radiology, by maintaining relevant certifications and participating in ongoing education.
• Uphold all legal and ethical requirements, ensuring accuracy, confidentiality, and compliance in all coding and audit activities.

6. Customer Implementation Support

• Actively participate in customer implementations, providing senior-level coding expertise to ensure accurate and efficient deployment of CodaMetrix solutions.
• Collaborate with cross-functional teams, including Machine Learning, Product, Customer Success, and Implementations, to address customer needs and optimize results.
• Serve as a trusted coding resource during implementations involving complex radiology coding workflows.

QUALIFICATIONS & EXPERIENCE

• Current AHIMA or AAPC coding credential held for 7+ years.
• 7–10 years of medical coding and auditing experience, with progressive growth in responsibilities.
• Significant hands-on radiology coding experience is required. Candidates must demonstrate deep expertise in radiology coding and the ability to independently navigate complex radiology coding scenarios.
• CPC, CCS, and/or CIRCC certification required; CIRCC strongly preferred given the radiology focus of this role.
• Demonstrated expertise in CPT coding, particularly within radiology, including a strong understanding of applicable coding guidelines, modifiers, documentation requirements, and billing practices.
• Experience coding across multiple radiology modalities and/or subspecialties is strongly preferred.
• Demonstrated ability to serve as a coding SME and provide guidance on complex or ambiguous coding scenarios.
• Excellent communication and customer service skills, with the ability to effectively engage executives, directors, data scientists, customers, and other stakeholders with varying levels of coding knowledge.
• Strong organizational skills and attention to detail, with a demonstrated commitment to excellence and precision.
• Critical thinking, intellectual curiosity, and creativity in problem-solving.
• Ability to thrive under time constraints in a fast-paced environment.
• Team-oriented approach with a positive and patient demeanor, fostering collaboration and continuous improvement.

COMPENSATION

$105,000 - $125,000

LOCATION

Boston, MA - Hybrid/Remote

JOB TYPE

Full-time, exempt, regular

What CodaMetrix can offer you:

Learn more about our full-time employee benefits and how we take care of our team.

• Health Insurance: We cover 80% of the cost of medical and dental insurance and offer vision insurance
• Retirement: We offer a 401(k) plan that eligible employees can contribute to one month after their first day
• Flexibility: We have a generous Paid Time Off policy, which is managed but not limited, so you can take the time you need to relax and rejuvenate
• Development: We provide annual performance evaluations and prioritize working with employees on what their individual growth looks like
• Recognition: We recognize the outstanding achievements of our team through annual company awards where employees have the opportunity to nominate their peers
• Office Location: A modern open plan workspace located in the bustling Back Bay neighborhood of Boston
• Additional Employer Paid Benefits: We offer employer-paid life insurance and short-term and long-term disability insurance

Background Check Notice

All candidates will be required to complete a background check upon acceptance of a job offer.

Equal Employment Opportunity

Our company, as well as our products, are made better because we embrace diverse skills, perspectives, and ideas.

CodaMetrix is an Equal Employment Opportunity Employer and all qualified applicants will receive consideration for employment.

Don’t meet every requirement? We invite you to apply anyway. Studies have shown that women, communities of color and historically underrepresented talent are less likely to apply to jobs unless they meet every single qualification. At CodaMetrix we are committed to building a diverse, inclusive and authentic workplace and encourage you to consider joining us.