10h ago
Clinical Operations Analyst
Remote
$71.8k-$95.7k / year
full-timesenior Remotehealthcare
๐ Tech Stack
๐ผ About This Role
You'll bridge clinical terminology and operational execution, shaping health plan policies and ensuring accurate medical coding. Your core impact includes driving cost-containment solutions and maintaining compliance. This role offers a chance to work on innovative benefit solutions for a diverse and inclusive team.
๐ฏ What You'll Do
- Support design and implementation of clinical protocols and medical policies.
- Analyze medical records to ensure accurate ICD, CPT, and HCPC code assignments.
- Evaluate treatment plans and audit claims to identify discrepancies.
- Partner with underwriting to provide coding insights for risk assessment.
๐ Requirements
- Medical coding certification completion.
- 5+ years of medical coding experience.
- 2+ years in a health plan, TPA, or managed care organization.
- Expert knowledge of ICD, CPT, and HCPC coding systems.
โจ Nice to Have
- Previous experience at a high growth company.
๐ Benefits & Perks
- ๐๏ธ Generous PTO
- ๐ถ Up to 16 weeks paid parental leave
- ๐ฐ 401k program
- ๐ Education reimbursement
- ๐พ Paid paw-ternity leave
๐จ Hiring Process
Estimated timeline: 2-4 weeks ยท AI estimate
- 1Recruiter Callยท 30 min
- 2Hiring Manager Interviewยท 45 min
- 3Technical Assessmentยท 60 min
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