Remote/Hybrid Claims Denial Coding Analyst (CPC)

St. Luke's University Health Network; Allentown (Lehigh County); Hybrid; USD 65,000 - 90,000; Full time

Job summary

St. Luke’s University Health Network is seeking a Certified Medical Coder for the Claim and Denial Coding Analyst role based in Allentown, PA.

You will ensure clean claim submissions and timely resolution of coding denials across professional services and facilities, with a focus on OB/GYN coding. The ideal candidate has CPC or CCA certification, 2+ years in E&M or surgical coding, and familiarity with ICD-10-CM, CPT, HCPCS, and Epic Resolute.

Qualifications

• Experience in OB/GYN coding and denial resolution methods.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines.
• Experience dealing with third-party payors and claim processing.

Responsibilities

• Maintain knowledge of coding, compliance, and documentation guidelines.
• Resolve edits and denials with supporting documentation and carrier policies.
• Provide guidance to providers and staff on coding best practices.
• Participate in coding conferences and internal sessions to stay updated.

Skills

Obstetrics and Gynecology coding

CPC certification

Education

CPC or CCA certification

Tools

Epic Resolute

Job description

St. Luke’s University Health Network is seeking a Certified Medical Coder for the Claim and Denial Coding Analyst role based in Allentown, PA.

You will ensure clean claim submissions and timely resolution of coding denials across professional services and facilities, with a focus on OB/GYN coding. The ideal candidate has CPC or CCA certification, 2+ years in E&M or surgical coding, and familiarity with ICD-10-CM, CPT, HCPCS, and Epic Resolute.