Coding Analyst III

CodaMetrix • Boston, MA

11d • $105,000 - $125,000 • Hybrid

About The Position

CodaMetrix is seeking an experienced medical coding professional with deep radiology coding expertise to help ensure the company meets and exceeds customers’ coding quality expectations. Reporting to the Senior Manager, Medical Coding & Audit, the Coding Analyst III reviews, analyzes, and improves coding processes internally and externally, serving as a senior subject matter expert in radiology coding and contributing to the quality and efficiency of coding operations.

The role works closely with Machine Learning, Product, Customer Success, Customer Implementations, customers, and other stakeholders. It provides expert coding guidance, helps translate complex radiology coding concepts into actionable solutions, and supports customer implementations. The position calls for mastery of radiology coding, the ability to communicate complex coding scenarios, and a strong commitment to quality, continued learning, and innovation.

This is a full-time, exempt, regular position based in Boston, Massachusetts, with a hybrid/remote work arrangement. The listed compensation range is $105,000–$125,000.

Requirements

• Hold a current AHIMA or AAPC coding credential and have held it for at least 7 years.
• Have 7–10 years of medical coding and auditing experience, with progressive growth in responsibilities.
• Have significant hands-on radiology coding experience and be able to independently navigate complex radiology coding scenarios.
• Hold a CPC, CCS, and/or CIRCC certification.
• Demonstrate expertise in CPT coding, particularly in radiology, including applicable coding guidelines, modifiers, documentation requirements, and billing practices.
• Demonstrate the ability to serve as a coding subject matter expert and guide others through complex or ambiguous coding scenarios.
• Have excellent communication and customer service skills, including the ability to engage effectively with executives, directors, data scientists, customers, and other stakeholders with varying levels of coding knowledge.
• Have strong organizational skills and attention to detail, with a commitment to excellence and precision.
• Demonstrate critical thinking, intellectual curiosity, and creativity in problem-solving.
• Be able to work under time constraints in a fast-paced environment.
• Bring a team-oriented approach, positive attitude, and patient demeanor that supports collaboration and continuous improvement.

Nice To Haves

• CIRCC certification is strongly preferred.
• Experience coding across multiple radiology modalities and/or subspecialties is strongly preferred.

Responsibilities

• Analyze and document customers’ coding practices and workflows to support optimal use of the CodaMetrix product.
• Identify and share best practices for coding automation and workflow improvements.
• Use radiology coding expertise to identify coding complexities, risks, and opportunities in customer workflows.
• Assist the Senior Manager with Coding Quality Assessment projects, including work assignments, training, and quality assurance for coding staff.
• Apply CodaMetrix coding standards and radiology coding expertise to promote coding quality and consistency.
• Review complex coding scenarios and provide guidance on appropriate coding practices.
• Present audit results and coding recommendations to customer stakeholders and facilitate sign-off for go-live milestones.
• Serve as an internal and external subject matter expert in radiology coding and billing.
• Provide guidance on complex radiology coding scenarios, including CPT coding, documentation requirements, modifiers, and applicable guidelines.
• Provide coding and billing guidance to Machine Learning, Product, and other cross-functional teams.
• Identify coding patterns, edge cases, and complexities that may affect automation accuracy and product performance.
• Develop and deliver coding and billing evaluation and training materials for colleagues and customers.
• Mentor coding team members, particularly on complex radiology coding topics, and share knowledge to strengthen internal capabilities and support continuous improvement.
• Maintain relevant certifications, stay current on medical coding and billing changes—particularly those affecting radiology—and participate in ongoing education.
• Uphold legal and ethical requirements and ensure accuracy, confidentiality, and compliance in coding and audit work.
• Participate in customer implementations, providing senior-level coding expertise to support accurate and efficient deployment of CodaMetrix solutions.
• Collaborate with Machine Learning, Product, Customer Success, Implementations, and other teams to address customer needs and optimize results.
• Serve as a trusted coding resource during implementations involving complex radiology coding workflows.

Benefits

• Medical and dental insurance, with the company covering 80% of the cost.
• Vision insurance.
• 401(k) plan, with eligible employees able to contribute one month after their first day.
• Managed but not limited Paid Time Off policy.
• Annual performance evaluations and support for individual employee growth.
• Annual company awards, with employees able to nominate peers.
• Modern open-plan office in Boston’s Back Bay neighborhood.
• Employer-paid life insurance.
• Employer-paid short-term and long-term disability insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed