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Clinical Coding Analyst, Experienced

Blue Shield of CA
United States, California, Oakland
601 12th Street (Show on map)
Sep 04, 2025

Your Role

As a Clinical Coding Analyst-Experienced, specializing in code governance, you will play a pivotal role in ensuring coding standards, compliance, and best practices across development teams. Your responsibilities will include implementing and maintaining a code governance framework, conducting code reviews, optimizing development workflows, and ensuring adherence to industry standards. You will collaborate with cross-functional teams to establish coding guidelines, automate governance processes, and enhance overall software quality and security. Your expertise will drive efficiency, consistency, and compliance in coding practices, supporting scalable and maintainable solutions.

Your Knowledge and Experience

  • Requires a minimum of an AA degree; Bachelors' degree preferred

  • AHIMA Certified CCS

  • Preferred certification as CSS-P

  • Possess deep technical abilities

  • Work history in one of more of the following: 2 to 3 years of Provider billing experience in a lead, supervisory or management role; or 1 to 2 years in a payor environment working directly with payment quality and accuracy in a claims processing, providing contracting or audit capacity or; 1 to 2 years in a compliance or audit function within a health care system

  • Requires broad theoretical job knowledge typically obtained through advanced education
  • Intermittent proficiency in Microsoft Excel, Word and Powerpoint
  • Requires broad theoretical job knowledge typically obtained through advanced education
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