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Clinical Operations Analyst, Medical Coding

Gravie
17 hours ago
Full-time
Remote
Worldwide
Remote Operations
Hi, we’re Gravie. Our mission is to create health benefits that actually benefit small and midsize businesses and their employees. Our innovative benefit solutions and services are developed and delivered by a diverse group of unique people. We encourage you to be your authentic self - we like you that way. A Little More About the Role: We are seeking an individual with deep expertise in health plan operations, clinical strategy, and medical coding principles. In this dual-impact role, you will bridge the gap between clinical terminology, and operational execution. You will play a crucial role in shaping our health plan’s policies and procedures, ensuring that medical procedures and diagnoses are accurately translated into appropriate codes while driving innovative cost-containment solutions. You Will: Policy & Protocol Development: Support the design and implementation of clinical protocols, SOPs, and medical policies to guide the effective and accurate application of benefits. Coding & Compliance: Analyze medical records and plan design language to ensure accurate code assignments (ICD, CPT, HCPC) and maintain compliance with federal and state regulations, applying independent ju... Click Apply to read the full job description.