Remote Clinical Analyst & Medical Coding Specialist

NurseRemotely; United States; Remote; USD 85,000 - 115,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Disability insurance

Life insurance

401(k) with match

Job summary

SYSTEMTEC is seeking a Clinical Analyst / Medical Coding Specialist for a remote opportunity with EST hours. You will provide clinical coding and business analysis expertise within a complex healthcare environment, supporting ICD-10, CPT, and HCPCS updates while partnering with stakeholders to document requirements and drive system improvements.

Required CPC or CCS certification and 3+ years in healthcare, with travel to Columbia, South Carolina for onsite meetings at your own expense.

Qualifications

• Bachelor’s degree in a healthcare-related field.
• Current CPC or CCS certification.
• 3+ years of professional healthcare experience.
• 3+ years of ICD-10, CPT, and HCPCS coding experience.
• 3+ years of anatomy, physiology, pharmacology, and medical terminology knowledge.
• 3+ years of documenting business processes.
• Strong analytical and stakeholder collaboration skills.

Responsibilities

• Coordinate and review annual and quarterly ICD-10, CPT, HCPCS coding updates and assess business impact.
• Prepare code-change reports and recommendations for policy and operations.
• Research and analyze business rules, workflows, and system functionality related to coding.
• Serve as SME on coding methodologies and Medicaid processes.
• Maintain requirements, process docs, models, and training materials.
• Participate in stakeholder meetings and system modernization initiatives.

Skills

Medical Coding

ICD-10

CPT

HCPCS

Business Analysis

Stakeholder Collaboration

Education

Bachelor’s degree in healthcare-related field

Tools

Encoder software

Microsoft Office

Job description

SYSTEMTEC is seeking a Clinical Analyst / Medical Coding Specialist for a remote opportunity with EST hours. You will provide clinical coding and business analysis expertise within a complex healthcare environment, supporting ICD-10, CPT, and HCPCS updates while partnering with stakeholders to document requirements and drive system improvements.

Required CPC or CCS certification and 3+ years in healthcare, with travel to Columbia, South Carolina for onsite meetings at your own expense.