Medical Coding Edits and Denial Quality Analyst

The Medical Coding Edits and Denial Quality Analyst is responsible for analyzing, reviewing, and resolving coding-related claim edits and insurance denials to ensure accurate medical coding and maximize reimbursement. This role involves performing root-cause analysis on denied claims, identifying coding trends that lead to financial loss, and providing feedback to coding and clinical teams. The position focuses on maintaining compliance with medical coding policies and guidelines while supporting the delivery of clean claims.