About the Role
Job Description:
Pay Range: $60.82hr - $64.82hr
The Clinical Analyst and Coding Specialist serves as a subject matter expert (SME) in medical coding methodologies, Medicaid policy, and clinical review processes. This role supports annual and quarterly CMS coding updates, analyzes ICD-10/CPT/HCPCS changes, collaborates with IT and Medicaid program teams, and ensures accurate business rule implementation within claims processing systems. The ideal candidate will bring strong clinical expertise, payer-side coding experience, and deep knowledge of healthcare regulations. Key Responsibilities:
Coding Updates And Analysis: Initiate and manage annual and quarterly CMS updates for ICD-10, CPT, and HCPCS coding changes. Perform initial impact analysis to determine scope of coding changes. Prepare and distribute listings of code changes to Reference Administration and Medicaid Program ...