Remote Medical Coding Analyst II - Audit & Compliance

Medica; United States; On-site; USD 45,900 - 68,775; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Paid time off

401K

Job summary

Medica is seeking a Coding Analyst II to perform high‑level coding, audits, and analysis within Claims, reimbursement, and operations. You’ll interpret clinical documentation, apply coding guidelines, and identify discrepancies impacting payment accuracy, with minimal supervision on moderately complex cases.

You will also support cross‑functional partners by delivering coding expertise for CPT, HCPCS, ICD‑10, and related code sets, ensuring data integrity and regulatory compliance across systems.

Qualifications

• Bachelor's degree or equivalent experience in related field.
• 3+ years of medical coding experience within a Health Plan or Payment Integrity department.
• Current professional coding certification (AAPC or AHIMA) and maintained in good standing.

Responsibilities

• Apply Medical Coding Standards to Claims & Clinical Documentation.
• Conduct coding reviews and identify discrepancies.
• Troubleshoot coding-related issues across operational processes.
• Support coding quality, compliance, and documentation standards.
• Serve as a knowledge resource and contribute to team objectives.

Skills

Medical coding

Remote work ability

Education

Bachelor's degree or equivalent

Tools

Excel

Optum EncoderPro

HealthRules

Job description

Medica is seeking a Coding Analyst II to perform high‑level coding, audits, and analysis within Claims, reimbursement, and operations. You’ll interpret clinical documentation, apply coding guidelines, and identify discrepancies impacting payment accuracy, with minimal supervision on moderately complex cases.

You will also support cross‑functional partners by delivering coding expertise for CPT, HCPCS, ICD‑10, and related code sets, ensuring data integrity and regulatory compliance across systems.