10h ago

Clinical Operations Analyst

Remote

$71.8k-$95.7k / year

full-timesenior Remotehealthcare

๐Ÿ›  Tech Stack

๐Ÿ’ผ 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.

๐ŸŽฏ 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.

๐Ÿ“‹ 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.

โœจ Nice to Have

  • Previous experience at a high growth company.

๐ŸŽ Benefits & Perks

  • ๐Ÿ–๏ธ Generous PTO
  • ๐Ÿ‘ถ Up to 16 weeks paid parental leave
  • ๐Ÿ’ฐ 401k program
  • ๐Ÿ“š Education reimbursement
  • ๐Ÿพ Paid paw-ternity leave

๐Ÿ“จ Hiring Process

Estimated timeline: 2-4 weeks ยท AI estimate

  1. 1Recruiter Callยท 30 min
  2. 2Hiring Manager Interviewยท 45 min
  3. 3Technical Assessmentยท 60 min
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