Senior Business Analyst, Medical Coding & Policy
New
Most locations within the contiguous United StatesFull-TimeSenior
Salary69,400 - 99,200 USD per year
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Job Details
- Experience
- Minimum of six years
- Required Skills
- Business Analysis
Requirements
- Minimum of six years of experience as a Business Analyst, Medical Coding Analyst, or in a related healthcare-focused role.
- Certified Professional Coder (CPC) credential or equivalent advanced medical coding expertise is required.
- Experience supporting healthcare, Medicaid claims processing, medical coding, billing operations, or healthcare system implementations.
- Strong understanding of business analysis methodologies, requirements elicitation, software development lifecycle (SDLC), and testing alignment.
- Demonstrated ability to develop structured business requirements, claims processing documentation, operational procedures, and policy guidance.
- Solid understanding of healthcare operations, claims adjudication, coding standards, and billing workflows.
- Strong analytical, organizational, and problem-solving skills with exceptional attention to detail.
- Excellent written and verbal communication skills with the ability to collaborate effectively with technical teams, operational stakeholders, and clients.
- Ability to work independently while managing multiple priorities in a remote, collaborative environment.
Responsibilities
- Lead the analysis, documentation, and delivery of coding, billing, and policy-related business solutions from initial requirements through implementation and project completion.
- Gather, analyze, and document business, functional, and operational requirements while translating complex medical coding and billing concepts into clear, actionable deliverables.
- Develop and maintain claims processing instructions, operational procedures, and policy documentation using concise, user-friendly language.
- Assess the impact of coding, billing, and claims processing changes on business operations and system functionality to ensure alignment across teams.
- Act as the primary liaison between operations, business analysts, technical delivery teams, and client stakeholders to ensure consistent understanding of business requirements.
- Participate in requirements workshops, solution design sessions, operational meetings, and client presentations to support project success.
- Maintain documentation standards, coordinate project communications, track action items, and provide regular updates to project leadership and stakeholders.
- Mentor and support fellow business analysts by providing subject matter expertise in medical coding, billing, and healthcare policy.
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