You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a highly experienced Coding Analyst to develop, document, and maintain code level benefit definitions for a multi-state and multi-market organization. This role involves collaborating with various departments to ensure compliance and resolve conflicts, integrating essential health benefits, and maintaining accurate benefit configuration templates.

Key Responsibilities

• Utilize correct coding guidelines to research and interpret complex regulations while collaborating with policy and markets.
• Create, maintain, review, and analyze configuration templates for benefit requirements.
• Perform peer reviews and provide documentation of results within defined SLA guidelines.
• Communicate effectively with various internal departments to improve processes and resolve issues.
• Participate in the annual benefit change process with Product Management and Benefit Analysts.
• Create and utilize reports to analyze data for issue resolution and impact analysis.
• Provide guidance and mentorship to teammates and peers.
• Research and identify industry standard coding practices to stay current.
• Adhere to defined SLAs while accommodating urgent requests.
• Create and maintain SOPs and supporting process flows.
• Update and maintain the data management tool.
• Attend and support internal and external meetings as needed.
• Assist in the training and development of new hires and continuous training for department peers.
• Lead and facilitate assigned projects.
• Assist in the Quarterly Code process.
• Act as back-up for Team lead in meetings or other functions as appropriate.
• Perform any other job-related instructions as requested.

Qualifications

• Bachelor's degree in a related field or equivalent years of relevant work experience is required.
• Certified Medical Coder (CPC, RHIT, or RHIA) is required.

Experience

• Minimum of five (5) years of medical coding or medical billing experience on the Payer side is required.
• Managed Care experience is required, preferably in benefits coding, claims processing, and/or benefit configuration (Medicare/Medicaid).

Additional Requirements

• General office environment; may be required to sit or stand for extended periods of time.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

^*As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients