Job Description: • Responsible for reviewing and researching new code changes that are released by the Coding Authorities (AMA, CMS) for system implementation for PPO and HMO Commercial Business. • AMA (American Medical Association): The AMA is responsible for maintaining and updating the Current Procedural Terminology (CPT) codes, which are used for medical billing and coding in the U.S. healthcare system. • CMS (Centers for Medicare & Medicaid Services): CMS oversees the Healthcare Common Procedure Coding System (HCPCS) and International Classification of Diseases (ICD) codes, ensuring standardized coding for Medicare, Medicaid, and other healthcare programs. Top 3 Required Skills/Experience – • Must be knowledgeable in use of CPT, HCPCS, ICD-10-CM and ICD-10-PCS code books • RHIT or RHIA Certification Required • Ability to analyse, investigate and organize ideas in defining and formulating solutions Required Skills/Experience – The rest of the required skills/experience. Include: • Proficient in current industry standard PC applications and systems (e.g. Word, Excel and Microsoft Office) • Ability to work independently, within a team environment and handle multiple priorities • Great oral and written communication skills • Other related skills and/or abilities may be required to perform this job. • Must be knowledgeable in use of CPT, HCPCS, ICD-10-CM and ICD-10-PCS code books • RHIT or RHIA with specialty certification of CCS, CCS-P preferred • Works collaboratively with Physicians and other team members • Knowledge of PPO and HMO claim systems and benefits a plus. Preferred Skills/Experience – • Experience working with the client /BCN benefits and/or claims preferred • Previous experience working with NASCO, MOS and/or BCU systems preferred Education/Certifications – Include: • Bachelor's degree in related field • Certified Professional Coder HM Notes: • Healthcare experience is mandatory. • While the candidate does not need full-fledged coding experience, they should have a background in coding and will be responsible for reviewing and researching new code changes released by the Coding Authorities (AMA, CMS) for system implementation in PPO and HMO Commercial Business. • The client is looking for an Analyst, not a strictly coding-focused candidate. Skills Required: • Looking for an Analyst with strong medical coding experience. • Must be able to analyze coding updates, perform root cause analysis, and document solutions. • Strong background in CPT, ICD-10-CM, ICD-10-PCS, and HCPCS codes. • Candidate must have in-depth knowledge of coding and billing, though no billing work will be performed. • The primary responsibility is to implement new codes released by CMS and AMA and document these updates. • Strong analytical skills required, with expertise in Medical Codes, surgery codes, and lab code sets. • Must have both coding and analytical experience—not just one. • Hybrid role (onsite once a week). • Certified Professional Coder (CPC) certification is required. Interview format: In-person preferred; virtual available if necessary. Apply tot his job