Claims Coding Analyst
Healthfirst
About this role
The Claims Coding Analyst makes coding-based determinations on claims and appeals and maintains Healthfirst’s claims editing systems to ensure accurate claims payment. The role ensures payment policy alignment with CMS, NYSDOH, and standard coding guidelines and serves as a subject matter expert on complex provider issues. The position also handles provider correspondence related to denials and escalated disputes.
Skills
Qualifications
About Healthfirst
healthfirst.orgHealthfirst is a not‑for‑profit health insurer focused on serving New Yorkers with a range of plans including Medicaid, Medicare Advantage, Child Health Plus, the Essential Plan, and individual & family coverage across New York City, Long Island, Westchester and nearby regions. The company emphasizes coordinated, community‑focused care through a large provider network, care management programs, preventive services, and support for social needs. Healthfirst provides member tools and customer support for plan selection and access to services, and runs quality and population‑health initiatives aimed at improving outcomes and reducing disparities.
Salary
$61k – $100k
per year
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