Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations

Employer Industry: Healthcare Consulting

• Salary up to $130,000 annually
• Eligibility for participation in an annual bonus plan
• Comprehensive benefits and wellness options tailored to support employees at every stage of life
• Opportunities for professional growth through ongoing training, mentorship, and clear performance feedback
• Flexible work schedules and a discretionary time‑off policy to promote work‑life balance
• Commitment to inclusion and respect, embracing diverse perspectives and experiences

• Support and execute client engagements related to healthcare billing, coding, reimbursement, and revenue cycle operations
• Perform detailed forensic analyses and compliance reviews to identify potential fraud, waste, abuse, and process inefficiencies
• Analyze and document EMR/EHR hospital billing workflows, including charge capture and claims processing
• Assist in audits, investigations, and litigation support engagements, including evidence gathering and corrective action planning
• Prepare clear, well‑structured analyses, reports, and client‑ready presentations summarizing findings and recommendations

• Bachelor’s degree in Healthcare Administration, Information Technology, Computer Science, Accounting, or a related field required;
  Master’s degree preferred
• Two (2)+ years of experience in healthcare revenue cycle operations, EMR/EHR implementations, compliance, or related healthcare consulting roles
• Nationally recognized coding credential (e.g., CCS, CPC, RHIA, RHIT) required
• Working knowledge of EMR/EHR system configuration, workflows, issue resolution, and optimization
• Willingness to travel up to 25%, based on client and project needs

• Experience supporting consulting engagements, audits, or investigations related to billing, coding, reimbursement, or compliance
• Epic Resolute or other hospital billing system experience preferred;
  Epic certification a plus
• Additional certifications such as CHC, CFE, or AHFI preferred
• Proficiency in Microsoft Office (Excel, PowerPoint, Word); experience with Visio, SharePoint, Tableau, or Power BI preferred
• Understanding of key healthcare regulatory and compliance frameworks, including CMS regulations, HIPAA, and the False Claims Act

#Healthcare Consulting #Compliance #Revenue Cycle #Career Growth #Work Life Balance

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