Business Analyst

Job Description

Job Description

Senior Healthcare Business Analyst – Medical Coding (CPC/CCS) Position Overview

This role combines healthcare business analysis, medical coding expertise, and process documentation to support CPT/HCPCS and ICD-10 code maintenance and related healthcare process improvements. The position serves as a subject matter expert in medical coding methodologies and supports research, analysis, recommendations, stakeholder collaboration, and ongoing business process documentation. The role is well suited for a healthcare professional with strong medical coding knowledge who enjoys working on complex, change-oriented projects and collaborating with policy owners, stakeholders, and project teams. What You'll Do

Initiate annual and quarterly updates from CMS covering ICD-10 and CPT/HCPCS coding changes.

Perform initial reviews of codes to determine the scope of changes.

Prepare listings of code changes for Reference Administration staff and Medicaid Program staff for review and analysis.

Conduct meetings with agency personnel, stakeholders, and process owners.

Participate in project meetings, as needed, where reference administration expertise is required.

Serve as a subject matter expert for medical coding methodologies, Medicaid policy, and related topics.

Research business rules, requirements, and models to complete initial analysis and recommendations.

Maintain business rules, requirements, and models in a repository.

Collaborate with the team to ensure process documentation is complete.

Support the completion and routine updating of training content for owners and stakeholders, as needed.

May serve as a backup to other roles within the bureau to support claim escalation research after demonstrating full proficiency in the required job functions.

Perform other project-related duties as assigned or required.

Required Qualifications

Bachelor’s degree in a healthcare-related field.

Currently credentialed as CPC (Certified Professional Coder) or CCS (Certified Coding Specialist).

3+ years of experience in healthcare.

Strong knowledge of ICD/CPT/HCPCS translation and coding methodologies.

3+ years of extensive knowledge of anatomy, physiology, pharmacology, and medical terminology.

3+ years of strong knowledge of formal business process documentation.

Strong analytical skills.

Ability to manage multiple work efforts simultaneously.

Ability to understand business and functional requirements.

Strong collaboration and relationship-building skills.

Ability to understand CPT/HCPCS and ICD-10 translation and how medical codes link to claims processing.

An equivalent combination of experience and education may be considered with prior hiring team review and approval. Preferred Qualifications

3+ years of healthcare experience in hospital, office, and clinic settings.

Knowledge of Microsoft Office, including Word, Excel, and PowerPoint.

Knowledge of Optum Encoder and other medical coding software programs.

Clinical background.

What Makes HTC A Great Place To Build Your Future HTC Global Services wants you to join our team. Come build new things with us and advance your career. At HTC Global, you’ll collaborate with experts, work alongside clients, and be part of high-performing teams driving success together. You’ll have long-term opportunities to grow your career and develop skills in the latest emerging technologies. At HTC Global Services, our employees have access to a comprehensive benefits package. Benefits can include Group Health (Medical, Dental, and Vision), Paid Time Off, Paid Holidays, 401(k) matching, Group Life and Disability insurance, Professional Development opportunities, Wellness programs, and a variety of other perks. Our success as a company is built on inclusion and diversity. HTC Global Services is committed to providing a workplace free from discrimination and harassment, where every employee is treated with dignity and respect. We celebrate differences and believe that diverse cultures, perspectives, and skills drive innovation and success. HTC is an Equal Opportunity Employer and a proud National Minority Supplier. We seek to empower each individual, fostering an environment where everyone feels valued, included, and respected. #LI-Hybrid #Hiring #HealthcareBusinessAnalyst #BusinessAnalyst #MedicalCoding #MedicalCoder #ClinicalCoding