CodaMetrix - Coding Analyst III

• 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. • 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.