Lakeland Care

Coding Analyst

Lakeland Care

full-time

Posted on:

Location Type: Remote

Location: Wisconsin • United States

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Tech Stack

SQL

About the role

  • Provide subject matter expertise in healthcare coding, classification systems, and regulatory requirements
  • Develop a deep understanding of Medicaid and healthcare coding methodologies (i.e. CPT, HCPSC and applicable state-specific codes)
  • Support organizational compliance and operational accuracy by maintaining current knowledge of coding and reimbursement requirements
  • Ensure codes accurately reflect services for claims acceptance through the claims adjudication and encounter reporting processes
  • Partner closely with Provider Relations to enter new codes and modify existing codes in the EMR systems
  • Create accurate reporting of adequacy and other contract-required metrics
  • Research claim denials, identifying root causes related to coding, and collaborating with appropriate teams to resolve issues
  • Work with the Data Analytics team to define, store, and analyze data needed to generate meaningful reports

Requirements

  • Proficiency in medical coding systems including CPT and HCPCS
  • Certification from AAPC or equivalent (e.g., CPC, CRC, CCS, or CCS-P) or AHIMA is preferred
  • Minimum of three (3) years of experience with healthcare coding, preferably within Medicaid or managed care environments
  • Associate or bachelor’s degree in health information management, Healthcare Management, Statistics, or related field is preferred
  • Competent in using Microsoft software including Excel; experience with data tools (SQL) and healthcare systems (EMR/HER platforms) knowledge desired
  • Strong analytical and critical thinking skills, with the ability to research, interpret, and resolve misalignments related to coding
  • Current driver’s license, acceptable driving record, and proof of adequate insurance required
Benefits
  • Health insurance
  • Retirement plans
  • Paid time off
  • Remote work options
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
medical codingCPTHCPCScoding methodologiesdata analysisclaims adjudicationreporting metricsroot cause analysishealthcare reimbursementcoding compliance
Soft Skills
analytical skillscritical thinkingproblem-solvingcollaborationcommunication
Certifications
AAPC certificationCPCCRCCCSCCS-PAHIMA certification